RESULTS OF TREATMENT OF COLON CANCER WITH EXTENTION ON THE DUODENUM

Abstract

The article includes the experience of radical surgical treatment of colon cancer with tumor invasion into the duodenum. Patients (7 cases) underwent surgery. Their average age consisted of 72.3 years old. Right-sided hemicolectomy with atypical resection of the duodenum was performed on 6 patients. Pancreoduodenal resection with removal of the right half of the colon was carried out in one patient. The replacement of defect by overlay duodenojejunostomy with initial part of the small intestine was completed in 5 patients and the defect was sutured in one case during the atypical resection of the duodenum. There weren’t lethal outcomes after surgery. There was noted 3-year survival without relapse in 5 patients. According to the author, the atypical resection could be possible in limited invasion of the colon cancer in the duodenum with acceptable reliability level.

Keywords

• colon cancer
• duodenum
• duodenojejunostomy