Case Report
조기 위암이 동반된 복부 대동맥류에서 최소 침습적 접근에 의한 치료 1예S
The Minimal Invasive Approach for Early Gastric Cancer with Abdominal Aortic Aneurysm
Korean J Vasc Endovasc Surg 2009; 25(2): 152-155
Published November 30, 2009
Copyright © The Korean Society for Vascular Surgery.
Around two-thirds of all abdominal aortic aneurysms (AAA) are incidentally discovered. Open surgical repair of these aneurysms is considered the standard, traditional method of treatment. This report details the minimal invasive approach for a patient who presented with early gastric cancer and an AAA, and the patient underwent endovascular repair of the aneurysm prior to laparoscopic assisted distal gastrectomy. Esophagogastroduodenoscopy identified a malignant ulcer in the antrum and preoperative abdominal computer-tomography incidentally revealed a large AAA. The abdominal aortic aneurysm was the infra-renal type and the estimated size was 65 mm. Compared to open surgical intervention, the treatment of abdominal aortic aneurysm via endovascular aneurysm repair (EVAR) shortens the period of recovery. Also, intra-abdominal adhesion is avoided so that minimal invasive surgical intervention through the laparoscopic approach is possible for treating malignancy. EVAR is the recommended treatment for asymptomatic abdominal aortic aneurysm when this is associated with intra-abdominal malignancy.
Keywords
원위부 위아전절제술, 복부대동맥류, 혈관 내 대동맥류 복원술