SUCCESSFUL SIMULTANEOUS RESECTION OF ABDOMINAL AORTIC-ANEURYSM AND RECTAL-CANCER - A CASE-REPORT

The surgical approach to patients with an abdominal aortic aneurysm (A AA) and gastrointestinal malignancy remains controversial. The Authors experienced a case with AAA and rectal cancer, which was treated by a successful one-stage operation. At first, the operation for the aneur ysm was done through a transperitoneal approach, and then, an abdomino perineal resection for rectal cancer was simultaneously done with a cl osed-bowel resection by the stapling technique. The postoperative cour se was uneventful. The patient was discharged on the thirty-second pos toperative day. From the standpoint of bacterial contamination, these two operations should be done separately; however, simultaneous operat ions such as the one described herein are possible if great care is ta ken.