title: En bloc Pancreaticodudenectomy with Colectomy for Locally Advanced Right Sided Colon Cancer.
abstract: A 57 year old male presented to our outpatient clinic with history of on and off melena, weight loss and decreasing appetite for 10 months duration and a noticeable mass on the right upper quadrant. Abdominal examination revealed an intra-abdominal lump in right upper quadrant which was subsequently evaluated by colonoscopy, which revealed an ulcero-proliferative growth in the hepatic flexure and the biopsy from it confirmed well-differentiated adenocarcinoma. Contrast enhanced computed tomography demonstrated hepatic flexure mass with possible invasion into adjacent duodenum without features of advanced disease. After completion of necessary preoperative assessment and investigations, patient was explored with curative intent and underwent extended right hemicolectomy with en bloc pancreaticodudenectomy. Patient was discharged on 10th postoperative day and at 14 months follows up; he was doing well without any evidence of recurrence.
authors.affiliation: Surgical Gastroenterology Units, Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
authors.forename: R S
authors.initials: RS
authors.lastname: Bhandari
authors.affiliation: Surgical Gastroenterology Units, Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
authors.forename: P J
authors.initials: PJ
authors.lastname: Lakhey
authors.affiliation: Surgical Gastroenterology Units, Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
authors.forename: P R
authors.initials: PR
authors.lastname: Mishra
keywords: colectomy; locally advanced; pancreaticoduodenectomy.