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Duodenopancreatectomia e hemicolectomia direita em monobloco para tratamento de câncer de cólon direito localmente avançado

2010; Brazilian College of Surgeons; Volume: 37; Issue: 3 Linguagem: Inglês

10.1590/s0100-69912010000300015

1809-4546

Alexandre Henriques, Jaques Waisberg, Karla de Andrade Possendoro, Felipe Emanuel Fuhro, Mânlio Basílio Speranzini,

Gastrointestinal Tumor Research and Treatment

This article reports the case of a patient whit 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 neoplasic 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 neoplasic dissemination, since the postoperative survival time is considerably longer in the resected group and some of these patients even achieve cure.