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. 2008 Oct;51(10):1548-51.
doi: 10.1007/s10350-008-9318-0. Epub 2008 May 3.

Long-term survival in patients with locally advanced colon cancer after en bloc pancreaticoduodenectomy and colectomy

Akio Saiura  1 , Junji Yamamoto, Masashi Ueno, Rintaro Koga, Makoto Seki, Norihiro Kokudo
Affiliations

Long-term survival in patients with locally advanced colon cancer after en bloc pancreaticoduodenectomy and colectomy

Akio Saiura et al. Dis Colon Rectum. 2008 Oct.

Abstract

Purpose: Surgical indications for colon cancer directly invading the pancreas head are controversial.

Methods: Between 1957 and 2007, a total of 12 patients (8 men) underwent pancreaticoduodenectomy combined with right hemicolectomy for colon cancer involving the pancreas head.

Results: Mean age was 58 (range, 34-77) years. Fistula formation was observed in five patients (41 percent) preoperatively. Tumor involvement was duodenum only (n = 4), duodenum/pancreas (n = 3), stomach/pancreas (n = 1), duodenum/stomach (n = 2), duodenum/liver (n = 1), and pancreas only (n = 1). Only one postoperative death was encountered. Histologic examination showed malignant invasion to the pancreas head in nine cases (75 percent). Overall one-year, three-year and, five-year survival rates after surgery were 75, 66, and 55 percent, respectively. Five patients (41 percent) survived for more than ten 10 years.

Conclusions: Pancreaticoduodenectomy for advanced colon cancer invading the pancreas or duodenum provides favorable long-term survival.

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