Table 2.
Clinical data for 20 modified cases
| No. | Age/sex | Diagnosis | Planned surgery | Surgery performed (reason for modification) | Outcome one year after surgery |
|---|---|---|---|---|---|
| 1 | 51/M | Oesophageal cancer, aortic invasion, mediastinitis | Esophagectomy, aortic replacement | Esophagectomy, intercostal muscle flap to aorta (R) | Survived |
| 2 | 73/F | Lumbar spinal stenosis, diabetic gangrene, CKD on HD, CAD | Laminectomy, lower limb amputation | Lower limb amputation (R) | Survived |
| 3 | 80/F | Ureteral-right iliac artery fistula, common iliac artery aneurysm | Iliac artery replacement by laparotomy | Stent graft (R) | Survived |
| 4 | 46/M | Pancreatic cancer, pheochromocytoma | PD | Laparoscopic right adrenalectomy (P) | Survived, PD after one month |
| 5 | 62/M | Salivary fistula and ileostomy after esophagectomy | Esophageal reconstruction by thoracotomy | Pectoralis major myocutaneous flap to prevent salivary fistula (R) | Survived |
| 6 | 7/F | Tumor in left arm | Biopsy, Broviac catheter insertion, bone marrow aspiration | Biopsy (R) | Survived |
| 7 | 63/M | Graft infection after aortic replacement for TAAA | Removal of graft on CPB by median sternotomy | Removal of graft without CPB by thoracotomy (R) | Survived |
| 8 | 78/F | Loosening after total hip arthroplasty with screw into the pelvis | Removal of implant, debridement | Removal of implant, debridement, colostomy, sigmoidectomy (E) | Survived |
| 9 | 74/M | TAAA | Aortic replacement by thoracotomy and laparotomy | Aortic replacement by laparotomy (R) | Survived |
| 10 | 84/M | Bladder cancer | Laparoscopic cystectomy, ureteral fistula | Ureteral fistula (R) | Died of infection POD 25 |
| 11 | 66/M | Gastric cancer | Gastric wedge resection | Distal partial gastrectomy (E) | Survived |
| 12 | 63/M | Liver cirrhosis, liver cancer | Radiofrequency ablation by laparotomy | Percutaneous radiofrequency ablation (R) | Survived |
| 13 | 31/M | Lung injury caused by chest tube, muscular dystrophy complicated with cardiomyopathy | Repair by thoracotomy | Bronchoscopic embolization (R) | Died of heart failure POD 2 |
| 14 | 66/F | Aortic valve stenosis, mitral valve regurgitation, post CABG | Double valve replacement | Aortic valve replacement (R) | Died of heart failure POD 38 |
| 15 | 86/M | Gastric cancer, CKD on HD, paraplegia after stent grafting for TAA | Distal partial gastrectomy | Gastric wedge resection (R) | Died of heart failure POD 106 |
| 16 | 60/F | Lung tumor, aortic invasion | Lower lobectomy, aortic replacement | Thoracoscopic biopsy (R) | Chemotherapy, survived |
| 17 | 59/M | Esophageal tumor, tracheal invasion | Esophagectomy, combined resection of trachea | Biopsy (R) | Chemotherapy and radiotherapy, survived |
| 18 | 71/M | Esophageal cancer, liver cancer | Esophagectomy, partial hepatectomy | Esophagectomy (R) | Chemotherapy for liver cancer, survived |
| 19 | 1/M | Functional pyloric stenosis after necrotizing enterocolitis | Pyloroplasty, closure of ileostomy, colostomy | Ileotransversostomy (R) | Survived |
| 20 | 70/M | Gallbladder cancer, mitral valve regurgitation, tricuspid valve regurgitation | Extended cholecystectomy | Mitral valve replacement, tricuspid valve replacement (P) | Extended cholecystectomy at 20 months, survived |
Abbreviations: CABG coronary artery bypass graft, CAD coronary artery disease, CKD chronic kidney disease, CPB cardiopulmonary bypass, E changed to more expansive surgery for radical treatment, HD hemodialysis, P changed to priority surgery due to patient’s clinical condition, PD pancreaticoduodenectomy, POD postoperative day, R reduction in the procedures or changed to palliative surgery due to surgical difficulties or patient comorbidities, TAA thoracic aortic aneurysm, TAAA thoracoabdominal aortic aneurysm