En-bloc pancreatoduodenectomy and right hemicolectomy for treating locally advanced right colon cancer (T4): a series of five patients.
A series of five cases of right-colon adenocarcinoma that invaded the proximal duodenum is presented. All patients underwent successful en-bloc pancreatoduodenectomy plus right hemicolectomy by General Surgery Service of the Teaching Hospital of the ABC Medical School, Santo André, SP, Brazil. The study was conducted between 2000 and 2007. There were two major complications but no mortality. Three patients did not present any recurrence over the course of 15 to 54 months of follow-up. Multivisceral resection with en-bloc pancreatoduodenectomy should be considered for patients who are fit for major surgery but do not present distant dissemination. Long-term survival may be attained.
Costa
Sergio Renato Pais
SR
Serviço de Cirurgia Geral, Hospital Escola, Faculdade de Medicina do ABC, Santo André, SP, Brazil. sergiorenatopais@ig.com.br
Henriques
Alexandre Cruz
AC
Horta
Sergio Henrique Couto
SH
Waisberg
Jaques
J
Speranzini
Manlio Basílio
MB
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D003082:Colectomy / Q000379:methods; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D004386:Duodenum / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D016577:Pancreaticoduodenectomy / Q000379:methods*; D016019:Survival Analysis; D016896:Treatment Outcome