Erschienen in:
17.04.2021 | Video Forum
Fascial space priority approach for laparoscopic en bloc extended right hemicolectomy with pancreaticoduodenectomy for locally advanced colon cancer
verfasst von:
Y. Sun, H. J. Yang, Z. C. Zhang, Y. D. Zhou, P. Li, Q. S. Zeng, S. X. Liu, X. P. Zhang
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 9/2021
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Excerpt
Locally advanced colon cancer infiltrating to the duodenum or pancreatic head is rare and often considered to be unresectable. Experienced and technologically mature surgical teams from high volume hospitals have tried to deal with this problem and found that with en bloc extended right hemicolectomy (RC) plus pancreaticoduodenectomy (PD) long-term survival can be obtained, especially for those patients with well-differentiated adenocarcinoma and without node metastasis [
1‐
3]. En bloc RC plus PD to achieve a R0 margin might be the only chance of a long-term survival for these patients. However, since PD itself is a challenging surgical procedure associated with significant morbidity and mortality and requiring an experienced surgical team, the combination with RC makes the operation much more difficult. That is why all cases included in the previous literature were performed by laparotomy [
1‐
5]. Lately, with the development of pancreatic surgery, more and more PD can be performed laparoscopically and perioperative mortality has been reduced to an acceptable level. With an increased field of view and improved surgical instruments, laparoscopy can be used in more complicated operations including laparoscopic RC plus PD. …
