Retrospective Study
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World J Gastrointest Surg. Aug 27, 2014; 6(8): 146-150
Published online Aug 27, 2014. doi: 10.4240/wjgs.v6.i8.146
Simultaneous operation for cardiac disease and gastrointestinal malignancy
Teruo Komokata, Mikio Fukueda, Mamoru Kaieda, Takayuki Ueno, Yoshihumi Iguro, Yutaka Imoto, Ryuzo Sakata
Teruo Komokata, Mamoru Kaieda, Takayuki Ueno, Department of Surgery, Kagoshima Medical Center, National Hospital Organization, Kagoshima 892-0853, Japan
Mikio Fukueda, Yoshihumi Iguro, Yutaka Imoto, Cardiovascular and Gastroenterological Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8520, Japan
Ryuzo Sakata, Cardiovascular Surgery, Kyoto University Hospital, Kyoto 606-8397, Japan
Author contributions: Komokata T designed the study and provided the collection of the clinical data; Komokata T and Fukueda M wrote the manuscript; Kaieda M, Ueno T, Iguro Y, and Sakata R participated in the simultaneous surgery; Imoto Y and Sakata R were involved in editing the manuscript.
Correspondence to: Teruo Komokata, MD, PhD, Department of Surgery, Kagoshima Medical Center, National Hospital Organization, 8-1 Shiroyama, Kagoshima 892-0853, Japan. komokata@kagomc2.hosp.go.jp
Telephone: +81-99-2231151 Fax: +81-99-2269246
Received: March 6, 2014
Revised: June 20, 2014
Accepted: July 12, 2014
Published online: August 27, 2014
Processing time: 173 Days and 21.4 Hours
Core Tip

Core tip: Simultaneous surgical interventions for cardiovascular and gastrointestinal pathology have not been well adapted so far. Staged procedure, depending on the clinical priority is usually preferred. Concomitant cardiac and gastrointestinal surgery holds a bundle of advantages with some challenges. We reviewed the outcome in 15 patients who underwent simultaneous cardiovascular and gastrointestinal surgery at Kagoshima University Hospital. Postoperative complications were noted in 5 cases, with 1 death. No adverse cardiovascular events were noted during follow up. The cumulative survival rate for all patients was 69.2% at 5 years. Synchronized cardiovascular and gastrointestinal procedures can be safely performed when needed.