关键词: 腹主动脉瘤, 腹部外科疾病, 腔内修复术

Abstract:

Treatment of abdominal aortic aneurysm with concomitant other surgical abdominal pathologies        LI Xiao-xi. Department of Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
Abstract    The incidence of patients presenting with concomitant abdominal aortic aneurysm (AAA) and other abdominal pathologies of surgical interest is low. There is lack of consensus regarding to decide whether to concurrent or staged approaches, and the prioritisation of staged procedures. The management decision needs to be made for each individual case based upon the best estimates of risks of aneurysm rupture, operative risks, prognosis of malignancy, and patient preference. The most immediate life-threatening condition, the symptomatic lesion should be a treatment priority. Single-stage treatment avoids a second surgical and anesthesiologic trauma and eliminates the risks joined with the non-treated lesion, has to be preferred, when feasible for patient in general and local conditions. Endovascular aneurysm repair (EVAR), for its less invasiveness, early recovery and a shorter convalescence, appears to be the first choice for the patients. Staged treatment of AAA using EVAR followed by surgical therapy for other abdominal pathologies can be an effective therapy.

Key words: abdominal aortic aneurysm, surgical abdominal pathologies, endovascular aneurysm repair