A series of five cases of right-colon adenocarcinoma that invaded the proximal duodenum is presented. All patients underwent successful en-bloc pancreatoduodenectomy plus right hemicolectomy by General Surgery Service of the Teaching Hospital of the ABC Medical School, Santo André, SP, Brazil. The study was conducted between 2000 and 2007. There were two major complications but no mortality. Three patients did not present any recurrence over the course of 15 to 54 months of follow-up. Multivisceral resection with en-bloc pancreatoduodenectomy should be considered for patients who are fit for major surgery but do not present distant dissemination. Long-term survival may be attained.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1590/s0004-28032009000200014 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A case of simultaneous pancreatoduodenectomy and living donor liver transplantation for biliary cancer complicated with congenital biliary dilatation.
Surg Case Rep
December 2024
Department of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Background: In patients with pancreaticobiliary maljunction complicated by congenital biliary dilatation, the pancreatic enzyme flows back into the bile, leading to bile duct carcinogenesis. Although the biliary tract resection and reconstruction is well documented to decrease the rate of malignancy, cancer occurrence has been reported in the residual intrahepatic or intrapancreatic bile duct, even after resection. We report a case of multiple biliary tract cancers in the liver complicated by congenital biliary dilatation, whose tumor lesions were resected en bloc without disconnecting the biliary tract by simultaneous pancreatoduodenectomy and living donor liver transplantation.
View Article and Find Full Text PDFLaparoscopic total pancreatectomy with total mesopancreas dissection using counterclockwise technique and tail-first approach.
Ann Hepatobiliary Pancreat Surg
November 2024
Department of Surgery Hanoi Medical University, Hanoi, Vietnam.
Laparoscopic total pancreatectomy (LTP) is technically challenging and infrequently documented in the literature. In this paper, we present a new approach for performing fully LTP, a pancreatic tail-first approach with a counterclockwise technique, to accomplish total mesopancreas dissection and standard lymphadenectomy en bloc. Firstly, the tail and body of the pancreas without the spleen were dissected retrogradely, starting from the lower border of the body of pancreas and then from left to right.
View Article and Find Full Text PDFFeasibility of endoscopic submucosal dissection including papilla (with video).
Dig Endosc
November 2024
Center for Diagnostic and Therapeutic Endoscopy, Keio University School of Medicine, Tokyo, Japan.
Article Synopsis
- Endoscopic submucosal dissection including papilla (ESDIP) was developed to improve outcomes for patients with duodenal tumors, addressing issues like lesion size and local recurrence that are common with endoscopic papillectomy (EP).
- A study of 54 patients from 2010 to 2024 showed that ESDIP had a high success rate, with 96% of resections completed and a low overall recurrence rate of 15% after one year.
- While some complications occurred, such as intraprocedural perforation and delayed bleeding, the approach remains a promising low-invasive alternative to more extensive surgeries like pancreaticoduodenectomy.
Embolize, supercharge, resect: Embolization to enhance hepatic vascularization prior to en-bloc pancreas and arterial resection.
Cir Esp (Engl Ed)
December 2024
Department of Hepatobiliary and Pancreatic Surgery, Hospital Universitari de Bellvitge, Research Group of Hepato-biliary and Pancreatic Diseases, Institut d'Investigació Biomèdica de Bellvitge - IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.
Introduction: Embolization could increase the resectability of pancreatic tumors by supercharging visceral arterial perfusion prior to pancreatic surgery with arterial en-bloc resection. Its indications, however, are controversial.
Methods: We retrospectively analyzed the results of a single-center database of patients undergoing pancreatic surgery with arterial resection (AR) after preoperative arterial embolization (PAE) to increase hepatic vascular flow and spare arterial reconstruction.
Reappraising the Role of Intraoperative Neck Margin Revision in Post-Neoadjuvant Pancreatoduodenectomy for Pancreatic Ductal Adenocarcinoma: A Multi-Institutional Analysis.
Ann Surg
May 2024
Unit of Pancreatic Surgery, University of Verona Hospital Trust, Verona, Italy.
Objective: To investigate whether revision of pancreatic neck margin based on intraoperative frozen section analysis has oncologic value in post-neoadjuvant pancreatoduodenectomy (PD) for pancreatic ductal adenocarcinoma (PDAC).
Summary Background Data: The role of intraoperative neck margin revision has been controversial, with little information specific to post-neoadjuvant PD.
Methods: Patients who underwent post-neoadjuvant PD (2013-2019) for conventional PDAC with frozen section analysis of neck margin at three academic institutions were included.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!