En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three cases
Although colorectal tumors are fairly common surgical conditions, 5 to 12% of these tumors are locally advanced (T4 tumors) upon diagnosis. In this particular situation, the efficacy of en bloc multivisceral resection has been proven. When right-colon cancer invades the proximal duodenum or even the...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Instituto Israelita de Ensino e Pesquisa Albert Einstein
2010-03-01
|
| Series: | Einstein (São Paulo) |
| Subjects: | |
| Online Access: | http://apps.einstein.br/revista/arquivos/PDF/786-Einsteinv8n1p97-101.pdf |
| _version_ | 1811227568837230592 |
|---|---|
| author | Sergio Renato Pais Costa Sergio Henrique Couto Horta Alexandre Cruz Henriques Jaques Waisberg Manlio Basílio Speranzini |
| author_facet | Sergio Renato Pais Costa Sergio Henrique Couto Horta Alexandre Cruz Henriques Jaques Waisberg Manlio Basílio Speranzini |
| author_sort | Sergio Renato Pais Costa |
| collection | DOAJ |
| description | Although colorectal tumors are fairly common surgical conditions, 5 to 12% of these tumors are locally advanced (T4 tumors) upon diagnosis. In this particular situation, the efficacy of en bloc multivisceral resection has been proven. When right-colon cancer invades the proximal duodenum or even the pancreatic head, a challenging dilemma arises due to complexity of the curative surgical procedure. Therefore, en bloc pancreaticoduodenectomy with right hemicolectomy should be performed to obtain free margins. The present study reports three cases of locally advanced right-colon cancer invading the proximal duodenum. All of these cases underwent successful en bloc pancreaticoduodenectomy plus right hemicolectomy, with no death occurrence. Long-term survival was observed in two cases (30 and 50 months). In the third case, the patient did not present any recurrence twelve months after surgical treatment. Multivisceral resection with en bloc pancreaticoduodenectomy should be considered for patients who present acceptable risk for major surgery and no distant dissemination. This approach seems justified since the length of postoperative survival is longer in radically ressected groups (R0) than in palliativelly resected groups (R1-2). |
| first_indexed | 2024-04-12T09:44:40Z |
| format | Article |
| id | doaj.art-bec7a58ef00a4b168bc4292d2f8b1b31 |
| institution | Directory Open Access Journal |
| issn | 1679-4508 |
| language | English |
| last_indexed | 2024-04-12T09:44:40Z |
| publishDate | 2010-03-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-bec7a58ef00a4b168bc4292d2f8b1b312022-12-22T03:37:59ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)1679-45082010-03-018197101En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three casesSergio Renato Pais CostaSergio Henrique Couto HortaAlexandre Cruz HenriquesJaques WaisbergManlio Basílio SperanziniAlthough colorectal tumors are fairly common surgical conditions, 5 to 12% of these tumors are locally advanced (T4 tumors) upon diagnosis. In this particular situation, the efficacy of en bloc multivisceral resection has been proven. When right-colon cancer invades the proximal duodenum or even the pancreatic head, a challenging dilemma arises due to complexity of the curative surgical procedure. Therefore, en bloc pancreaticoduodenectomy with right hemicolectomy should be performed to obtain free margins. The present study reports three cases of locally advanced right-colon cancer invading the proximal duodenum. All of these cases underwent successful en bloc pancreaticoduodenectomy plus right hemicolectomy, with no death occurrence. Long-term survival was observed in two cases (30 and 50 months). In the third case, the patient did not present any recurrence twelve months after surgical treatment. Multivisceral resection with en bloc pancreaticoduodenectomy should be considered for patients who present acceptable risk for major surgery and no distant dissemination. This approach seems justified since the length of postoperative survival is longer in radically ressected groups (R0) than in palliativelly resected groups (R1-2).http://apps.einstein.br/revista/arquivos/PDF/786-Einsteinv8n1p97-101.pdfPancreaticoduodenectomyColorectal neoplasmsColonic neoplasmsAdenocarcinomaCase reports |
| spellingShingle | Sergio Renato Pais Costa Sergio Henrique Couto Horta Alexandre Cruz Henriques Jaques Waisberg Manlio Basílio Speranzini En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three cases Einstein (São Paulo) Pancreaticoduodenectomy Colorectal neoplasms Colonic neoplasms Adenocarcinoma Case reports |
| title | En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three cases |
| title_full | En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three cases |
| title_fullStr | En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three cases |
| title_full_unstemmed | En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three cases |
| title_short | En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer: report of three cases |
| title_sort | en bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right colon cancer report of three cases |
| topic | Pancreaticoduodenectomy Colorectal neoplasms Colonic neoplasms Adenocarcinoma Case reports |
| url | http://apps.einstein.br/revista/arquivos/PDF/786-Einsteinv8n1p97-101.pdf |
| work_keys_str_mv | AT sergiorenatopaiscosta enblocpancreaticoduodenectomyandrighthemicolectomytotreatlocallyadvancedrightcoloncancerreportofthreecases AT sergiohenriquecoutohorta enblocpancreaticoduodenectomyandrighthemicolectomytotreatlocallyadvancedrightcoloncancerreportofthreecases AT alexandrecruzhenriques enblocpancreaticoduodenectomyandrighthemicolectomytotreatlocallyadvancedrightcoloncancerreportofthreecases AT jaqueswaisberg enblocpancreaticoduodenectomyandrighthemicolectomytotreatlocallyadvancedrightcoloncancerreportofthreecases AT manliobasiliosperanzini enblocpancreaticoduodenectomyandrighthemicolectomytotreatlocallyadvancedrightcoloncancerreportofthreecases |