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En bloc pancreaticoduodenectomy and right hemicolectomy for locally advanced right-sided colon cancer 被引量:4
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作者 Yuji Kaneda Hiroshi Noda +7 位作者 Yuhei Endo Nao Kakizawa Kosuke Ichida Fumiaki Watanabe Takaharu Kato Yasuyuki Miyakura Koichi Suzuki Toshiki Rikiyama 《World Journal of Gastrointestinal Oncology》 SCIE CAS 2017年第9期372-378,共7页
AIM To assess the usefulness of en bloc right hemicolectomy with pancreaticoduodenectomy(RHCPD) for locally advanced right-sided colon cancer(LARCC).METHODS We retrospectively reviewed the database of Saitama Medical ... AIM To assess the usefulness of en bloc right hemicolectomy with pancreaticoduodenectomy(RHCPD) for locally advanced right-sided colon cancer(LARCC).METHODS We retrospectively reviewed the database of Saitama Medical Center, Jichi Medical University, between January 2009 and December 2016. During this time, 299 patients underwent radical right hemicolectomy for right-sided colon cancer. Among them, 5 underwent RHCPD for LARCC with tumor infiltration to adjacent organs. Preoperative computed tomography(CT) was routinely performed to evaluate local tumor infiltration into adjacent organs. During the operation, we evaluated the resectability and the amount of infiltration into the adjacent organs without dissecting the adherent organs from the cancer. When we confirmed that radical resection was feasible and could lead to R0 resection, we performed RHCPD. The clinical data were carefully reviewed, and the demographic variables, intraoperative data, and postoperative parameters were recorded.RESULTS The median age of the 5 patients who underwent RHCPD for LARCC was 70 years. The tumors were located in the ascending colon(three patients) and transverse colon(two patients). Preoperative CT revealed infiltration of the tumor into the duodenum in all patients, the pancreas in four patients, the superior mesenteric vein(SMV) in two patients, and tumor thrombosis in the SMV in one patient. We performed RHCPD plus SMV resection in three patients. Major postoperative complications occurred in 3 patients(60%) as pancreatic fistula(grade B and grade C, according to International Study Group on Pancreatic Fistula Definition) and delayed gastric empty. None of the patients died during their hospital stay. A histological examination confirmed malignant infiltration into the duodenum and/or pancreas in 4 patients(80%), and no patients showed any malignant infiltration into the SMV. Two patients were histologically confirmed to have tumor thrombosis in the SMV. All of the tumors had clear resection margins(R0). The median follow-up time was 77 mo. During this period, two patients with tumor thrombosis died from liver metastasis. The overall survival rates were 80% at 1 year and 60% at 5 years. All patients with node-negative status(n = 2) survived for more than seven years.CONCLUSION This study showed that the long-term survival is possible for patients with LARCC if RHCPD is performed successfully, particularly in those with node-negative status. 展开更多
关键词 Locally advanced right-sided colon cancer Right hemicolectomy Malignant infiltration Inflammatory adhesion PANCREATICODUODENECTOMY
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Pyogenic liver abscess as initial presentation in locally advanced right colon cancer invading the liver,gallbladder,and duodenum 被引量:1
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作者 Kai Qu Chang Liu +4 位作者 Aasef M.A.Mansoor Bo Wang Jincai Chen Liang Yu Yi Lv 《Frontiers of Medicine》 SCIE CSCD 2011年第4期434-437,共4页
Locally advanced colorectal cancer complicated with adjacent organic invasion may remain confined to the local area with minimal metastasis.In the present paper,we report on a patient with advanced right colon cancer,... Locally advanced colorectal cancer complicated with adjacent organic invasion may remain confined to the local area with minimal metastasis.In the present paper,we report on a patient with advanced right colon cancer,including liver,gallbladder,and duodenal invasion behind the scene of liver abscess.En bloc resection was performed on the patient,with right-hemicolectomy,cholecystectomy,partial duodental resection,and hepatectomy.Postoperative management was administered,including nutritional support in the early postoperative period,effective anti-infection treatment,and adjuvant chemotherapy(FOLFOX4).The patient survived for 16 months after the operation.Common clinical manifestations of colorectal cancer were digestive symptoms and changes in defecation.However,the clinical manifestation of locally advanced colon cancer was extremely complicated.Extended or multivisceral resection may offer patients a chance to survive an acute crisis and allow for treatment with adjuvant therapy. 展开更多
关键词 liver abscess locally advanced colon cancer multiorganic invasion
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