Research from Emory University, Medical Department reveals new findings on abdominal aortic aneurysm.

According to recent research published in the Canadian Journal of Urology, "Laparoscopic radical nephrectomy has become an international standard of care for medium to large renal tumors. Endovascular aneurysm repair (EVAR) has been accepted as a reasonable alternative to open abdominal aortic aneurysm (AAA) repair."

"We report a case of minimally invasive management of two potentially lethal diseases in a single hospitalization. The patient is a 76-year-old male who was found to have ail incidental finding of ail AAA and ail enhancing 9 cm left central renal mass. He was deemed to be all appropriate candidate for endovascular AAA repair and laparoscopic nephrectomy based on preoperative imaging. Secondary to mild, chronic renal insufficiency, a staged approach was planned: EVAR followed by nephrectomy. Successful minimally invasive treatments of the AAA and renal mass were accomplished in a staged fashion within 48 hours. The patient underwent successful EVAR for his inflammatory aneurysm and Was admitted after the procedure for hydration and renal function monitoring. Two days later, a successful laparoscopic radical nephrectomy was performed. The patient was discharged postnephrectomy day 3 and hospital day 5. Pathology revealed a T2NxMx conventional renal cell carcinoma (RCC). He has been continuously followed for 4 years postoperatively with no evidence of cancer recurrence and a shrinking aneurysm sac without leak. We present a case of two potentially lethal disease process previously handled in an ...