En bloc pancreaticoduodenectomy for right colon cancer invading adjacent organs.
OBJECTIVE
Surgical treatment of colorectal cancer needs an extended resection of the tumor en block with invaded organs. There is little information about the surgical treatment of right-sided colon carcinoma directly involving duodenum and pancreas. Our objective is to report our experience with three patients who underwent en bloc pancreaticoduodenectomy and hemicolectomy for locally advanced right colon cancer.


METHODS
Retrospective review of clinical records of patients with colon cancer.


RESULTS
Three patients with right colon cancer adherent to adjacent organs underwent en block surgery. No operative deaths occurred. All patients are alive without evidence of disease at 10, 30, 113 months of follow-up, respectively.


CONCLUSIONS
Locally advanced right-sided colon cancer can be safely treated with en bloc pancreaticoduodenectomy and colectomy with excellent long-term results.
Berrospi
Francisco
F
Instituto de Enfermedades Neoplásicas, Lima, Peru.
Celis
Juan
J
Ruiz
Eloy
E
Payet
Eduardo
E
D000328:Adult; D000368:Aged; D003082:Colectomy; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000379:methods*; D012189:Retrospective Studies