title: [En bloc pancreaticoduodenectomy and right hemicolectomy for locally advanced right colon cancer treatment].
abstract: This article reports the case of a patient with a diagnosis of diarrhea and weight loss. Subsidiary exams showed ulcerovegetant lesion in the second duodenal portion and duodenocolic fistula. An exploratory laparotomy was performed and a neoplastic lesion in the hepatic angle of the colon was observed invading the second duodenal portion. The patient then underwent a cephalic gastroduodenopancreatectomy associated with en bloc right hemicolectomy and improved well in the postoperative period. Currently, 48 months after the surgery, he does not present any signs of the disease dissemination or recurrence. The consulted literature recommends that multivisceral resection must be considered if the patient is clinically able to undergo major surgery and does not present any signs of neoplastic dissemination, since the postoperative survival time is considerably longer in the resected group and some of these patients even achieve cure.
authors.affiliation: Faculdade de Medicina do ABC, São Bernardo do Campo, SP, BR. achenriques@uol.com.br
authors.forename: Alexandre Cruz
authors.initials: AC
authors.lastname: Henriques
authors.forename: Jaques
authors.initials: J
authors.lastname: Waisberg
authors.forename: Karla de Andrade
authors.initials: Kde A
authors.lastname: Possendoro
authors.forename: Felipe Emanuel
authors.initials: FE
authors.lastname: Fuhro
authors.forename: Manlio Basílio
authors.initials: MB
authors.lastname: Speranzini
mesh_terms: D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D016577:Pancreaticoduodenectomy / Q000379:methods*