Simultaneous endovascular aortic aneurysm repair and laparoscopic-assisted colectomy in a patient with an abdominal aortic aneurysm and concomitant advanced colon cancer

Management of patients with an abdominal aortic aneurysm (AAA) and concomitant malignancy is controversial, particularly when both diseases require urgent surgical treatment. We present the case of an 88-year-old woman with a large AAA and concomitant advanced colon cancer. We performed a simultaneous endovascular aortic aneurysm repair (EVAR) and a laparoscopic-assisted colectomy. The patient's postoperative course was uneventful, and she was discharged on postoperative day 7 without complications. One-stage management with a minimally invasive procedure of simultaneous EVAR and laparoscopic surgery may provide an alternative and effective method for a patient with a large AAA and concomitant advanced abdominal malignancy.