Simultaneous operation for thoracic and abdominal lesions

Successful simultaneous operation for thoracic and abdominal lesions was performed in three cases. A 70-year-old man with bronchogenic cyst and a 73-year-old woman with thymoma, who had also cholecystolithiasis respectively, underwent a cholecystectomy following resection of the intrathoracic tumors. A 69-year-old man with bronchogenic carcinoma and abdominal aortic aneurysm underwent a left upper lobectomy following aneurysmectomy and grafting using vascular prosthesis. Their postoperative courses were uneventful. One stage operation has the advantage of treating both lesions simultaneously and saving the patient from the physical and psychosomatic pain and the risk of a second procedure. If patients are properly selected, simultaneous operation for thoracic and abdominal lesions can be safely performed with a short hospitalization and less expense.