Duodenopancreatectomia e hemicolectomia direita em monobloco para tratamento de câncer de cólon direito localmente avançado / En bloc pancreaticoduodenectomy and right hemicolectomy for locally advanced right colon cancer treatment
Rev. Col. Bras. Cir
;
37(3): 247-249, maio-jun. 2010. ilus
Artículo
en Portugués
| LILACS
| ID: lil-554601
ABSTRACT
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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Pancreaticoduodenectomía
/
Colectomía
/
Neoplasias del Colon
Límite:
Humanos
/
Masculino
Idioma:
Portugués
Revista:
Rev. Col. Bras. Cir
Asunto de la revista:
Cirugía General
Año:
2010
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Faculdade de Medicina do ABC/BR
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