[Cephalic Duodenopancreatectomy in Patients with Locally Advanced Right Colon Cancer].

INTRODUCTION

Locally advanced colon cancer represents 5% to 22% of the total. In patients with right colon cancer and invasion of the pancreas and/or duodenum the recommended surgery is en bloc resection. However, the morbidity and mortality associated with this procedure may condition the decision-making regarding the choice of treatment.

AIM: To analyze the results of en bloc resections in patients with locally advanced right-sided colon cancer with duodenal and/or pancreatic infiltration in a referral center.

MATERIALS AND

METHODS

A retrospective descriptive analysis of patients with right colon cancer with infiltration to the duodenum and/or pancreatic head, evaluated between November 2013 and November 2019, who underwent en bloc resection with cephalic duodenopancreatectomy.

RESULTS

Seven patients with locally advanced colon cancer included studied. 42,85% (n= 3) had tumor infiltration into the duodenum, while 42.85% (n= 3) infiltrated the duodenum and pancreatic head and 14.28% (n= 1) did not infiltrate structures. The disease-free period was 41.93 months (12-95) and 28.57% (n= 2) of patients had disease recurrence.

CONCLUSIONS

Patients with locally advanced right colon cancer undergoing duodenopancreatectomy, regardless of the size and tumor infiltration, have a high morbidity and mortality rate as a consequence of surgery. However, the procedure offers a favorable longterm survival.