Duodenopancreatectomia e hemicolectomia direita em monobloco para tratamento de câncer de cólon direito localmente avançado / En bloc pancreaticoduodenectomy and right hemicolectomy for locally advanced right colon cancer treatment
Rev. Col. Bras. Cir
; 37(3): 247-249, maio-jun. 2010. ilus
Article
em Pt
| LILACS
| ID: lil-554601
Biblioteca responsável:
BR1.1
ABSTRACT
This article reports the case of a patient whit a diagnosis of diarrhea and weight loss. Subsidiary exams showed ulcerovegetant lesion in the second duodenal portion and duodenocolic fistula. An exploratory laparotomy was performed and a neoplasic lesion in the hepatic angle of the colon was observed invading the second duodenal portion. The patient then underwent a cephalic gastroduodenopancreatectomy associated with en bloc right hemicolectomy and improved well in the postoperative period. Currently, 48 months after the surgery, he does not present any signs of the disease dissemination or recurrence. The consulted literature recommends that multivisceral resection must be considered if the patient is clinically able to undergo major surgery and does not present any signs of neoplasic dissemination, since the postoperative survival time is considerably longer in the resected group and some of these patients even achieve cure.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Pancreaticoduodenectomia
/
Colectomia
/
Neoplasias do Colo
Limite:
Humans
/
Male
Idioma:
Pt
Revista:
Rev. Col. Bras. Cir
Assunto da revista:
CIRURGIA GERAL
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil