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Updated: Jan 9, 2026
Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique
Published on: February 2, 2022
[Cephalic Duodenopancreatectomy in Patients with Locally Advanced Right Colon Cancer]
Gerardo Miranda Devora1, Horacio Noé López-Basave1, Flavia Morales-Vásquez2
1Departamento de Gastroenterología, Instituto Nacional de Cancerología, México. Departamento de Gastroenterología Instituto Nacional de Cancerología México.
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.
