Right Hemicolectomy with Gastropancreatoduodenal Resection en bloc in 84-Year-Old Patient (Case Report)

Abstract

INTRODUCTION: Among the malignant neoplasms, colorectal cancer ranks third in the morbidity worldwide. Tumors of the right half of the colon are often symptomatic, which is an indication for extended and combined resections. Invasion into the neighboring tissues and organs indicates aggressiveness of the tumor biology, however, it is not always associated with the remote metastasizing process. Previously, invasion into the duodenum and/or pancreas was considered to be a non-resectable case, and as a rule, such patients underwent explorative laparotomy and were prescribed supporting medicinal therapy. However, recently some publications appeared on performing multivisceral resections in locally advanced cancer of the right half of the ascending colon with positive long-term results. In the given clinical case, a successful experience of radical surgical intervention in an elderly patient with locally advanced cancer with destruction and invasion into the duodenum is presented. CONCLUSION: Compliance with the oncological principles at each stage of the operation, precise preoperative diagnosis and preparation of the patient for surgical intervention can have a favorable outcome in the process of further treatment and survival of the patient.