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Simultaneous surgical treatment of abdominal aortic aneurysm and carcinoma of the bladder  Franco Grego, MDa, Sandro Lepidi, MDa, Pierfrancesco Bassi,

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Presentation on theme: "Simultaneous surgical treatment of abdominal aortic aneurysm and carcinoma of the bladder  Franco Grego, MDa, Sandro Lepidi, MDa, Pierfrancesco Bassi,"— Presentation transcript:

1 Simultaneous surgical treatment of abdominal aortic aneurysm and carcinoma of the bladder 
Franco Grego, MDa, Sandro Lepidi, MDa, Pierfrancesco Bassi, MDb, Ivan M. Tavolini, MDb, Franco Noventa, MDc, Francesco Pagano, MDb, Giovanni P. Deriu, MDa  Journal of Vascular Surgery  Volume 37, Issue 3, Pages (March 2003) DOI: /mva Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 Abdominal CT scan 12 months after simultaneous surgical treatment of coexisting AAA and TCCB. Figure shows multislice spiral CT scan tridimensional reconstruction of OIBR according to VIP technique and bifurcated aortic graft replacement. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 Extensive pelvic fluid collection (dotted arrow line) in proximity of left graft limb anastomosis (solid arrow line) was observed in one group A patient at 1 month after surgery (A). Fluid showed no direct continuity with prosthesis. Needle aspiration was performed with CT scan guidance, and fluid collection disappeared after 2 months of CT scan control (B). No evidence was seen of graft infection at technetium99 LLS 1 year after surgery (C). Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 Kaplan-Meier survival estimate curves in group A (concomitant AAA and TCCB), group B (AAA alone), and group C (TCCB alone). Symbol (○) indicates event dead, whereas + shows censored data. Dotted lines represent survival estimates when standard error exceeds 10%. With consideration of small sample size and increased early mortality rate in group A, standard error of survival estimate exceeds 10% after 6 months. Taking into account this limitation, log-rank test analysis showed no statistical difference of survival among groups (P =.19). Kaplan-Meier data are available as Appendices A and B (online only). Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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