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Surgical Science 2026
Pancreatoduodenectomy in Locally Advanced Right Colon Cancer
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Abstract:
Background: Pancreatoduodenectomy (PD) associated with colectomy is an uncommon procedure accounting for 2% - 11.5% of all PD, and only 6.2% are due to ascending colon cancer. Aim: Report an uncommon presentation of locally advanced colon cancer meriting an en bloc multi-organic resection describing current recommendations for its treatment. Case Presentation: A 29-year-old woman with a locally advanced right-sided colon cancer with duodenal infiltration treated with an en bloc multi-organic resection by right hemicolectomy with pancreatoduodenectomy and adjuvant chemotherapy. Conclusion: The best therapeutic approach for these patients has not been defined; initial surgical treatment is the most recommended option whenever it is possible to achieve an R0 resection.
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