Surgical strategy for locally-advanced right-sided colonic cancer

Davydov M.I.; Patiutko Iu.I.; Rasulov A.O.; Kotel'nikov A.G.; Faĭnshteĭn I.A.; Abgarian M.G.; Aliev V.A.; Kudashkin N.E.

doi:https://doi.org/10.17116/hirurgia2017430-35

Davydov M.I.

Federal state budgetary institution «N.N. Blokhin Russian Cancer Research Center», Ministry of Health of the Russian Federation, Moscow, Russia

Patiutko Iu.I.

Blokhin National Medical Research Center of Oncology

RSCI AuthorID: 137980
Scopus AuthorID: 55666204300
ORCID: 0000-0001-9254-1346

Rasulov A.O.

Department of colorectal cancer

Kotel'nikov A.G.

Faĭnshteĭn I.A.

Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina RAMN, Moskva

Abgarian M.G.

Khirurgicheskoe otdelenie opukholeĭ pecheni i podzheludochnoĭ zhelezy Rossiĭskogo onkologicheskogo nauchnogo tsentra im. N.N. Blokhina RAMN, Moskva

Aliev V.A.

Global Medical System, clinics & ,hospitals

Kudashkin N.E.

Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina RAMN, Moskva

SPIN RSCI: 3574-8344
Scopus AuthorID: 54885375500
ORCID: 0000-0003-0504-585X

Surgical strategy for locally-advanced right-sided colonic cancer

Authors:

Davydov M.I., Patiutko Iu.I., Rasulov A.O., Kotel'nikov A.G., Faĭnshteĭn I.A., Abgarian M.G., Aliev V.A., Kudashkin N.E.

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Journal: Pirogov Russian Journal of Surgery. 2017;(4): 30‑35

DOI: 10.17116/hirurgia2017430-35

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To cite this article:

Davydov MI, Patiutko IuI, Rasulov AO, et al. . Surgical strategy for locally-advanced right-sided colonic cancer. Pirogov Russian Journal of Surgery. 2017;(4):30‑35. (In Russ.)
https://doi.org/10.17116/hirurgia2017430-35

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

Aim. To present early and remote surgical outcomes in patients with locally-advanced right-sided colonic cancer, invasion of pancreatic head and/or duodenal wall. Material and methods. Early and remote surgical outcomes were analyzed in 27 patients who underwent gastropancreatoduodenectomy combined with right-sided hemicolectomy (ileotransversostomy extirpation) for locally-advanced right-sided colonic cancer. Results. Mean time of surgery was 300 (240—460) minutes, intraoperative blood loss — 2000 (500—7200) ml. Postoperative complications were observed in 15 (55.6%) patients. 3 (11.1%) patients died in early postoperative period. Overall 1-, 3- and 5-year survival was 92.7%, 48% and 36,5% respectively. Median was 33 months. Conclusion. Advanced combined surgery for locally-advanced right-sided colonic cancer, invasion of pancreatic head and/or duodenal wall is associated with acceptable incidence of postoperative complications, early and long-term mortality.

Keywords:

locally-advanced right-sided colonic cancer

gastropancreatoduodenectomy

surgical treatment

Authors:

Davydov M.I.

Federal state budgetary institution «N.N. Blokhin Russian Cancer Research Center», Ministry of Health of the Russian Federation, Moscow, Russia

Patiutko Iu.I.

Blokhin National Medical Research Center of Oncology

RSCI AuthorID: 137980
Scopus AuthorID: 55666204300
ORCID: 0000-0001-9254-1346

Rasulov A.O.

Department of colorectal cancer

Kotel'nikov A.G.

Faĭnshteĭn I.A.

Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina RAMN, Moskva

Abgarian M.G.

Khirurgicheskoe otdelenie opukholeĭ pecheni i podzheludochnoĭ zhelezy Rossiĭskogo onkologicheskogo nauchnogo tsentra im. N.N. Blokhina RAMN, Moskva

Aliev V.A.

Global Medical System, clinics & ,hospitals

Kudashkin N.E.

Rossiĭskiĭ onkologicheskiĭ nauchnyĭ tsentr im. N.N. Blokhina RAMN, Moskva

SPIN RSCI: 3574-8344
Scopus AuthorID: 54885375500
ORCID: 0000-0003-0504-585X

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References:

Davydov MI, Аksel' EM (red.) Statistics of malignant neoplasms in Russia and SNG countries in 2012. M.: Izdatel'skaya gruppa RONTS; 2014. (In Russ.).
Patyutko YuI, Kudashkin NE, Kotel'nikov АG. Surgical treatment of locally advanced right colon cancer. Onkologicheskaya koloproktologiya. 2014;2:28-32. (In Russ.).
Davydov MI, Rasulov АO, Kuz'michev DV, Mamedli ZZ, Аliev VА, Tamrazov RI. Whipple procedure in the surgical treatment of complicated right half of colon cancer. Klinicheskaya i ehksperimental'naya khirurgiya. Zhurnal im. akad. B.V. Petrovskogo. 2015;4(10);12-17. (In Russ.).
Staniunas RJ, Schoetz DJ. Extended resection for carcinoma of the colon and rectum. Surg Clin North Am. 1993;73:117-129. doi:10.1007/BF02303795
Koea JB, Conlon K, Paty PB, Guillem JG, Cohen AM. Pancreatic or duodenal resection or both for advanced carcinoma on the right colon: is it justified? Dis Colon Rectum. 2000;43:460-465. doi:10.1007/BF02237187
Kaapor S, Das B, Pal S, Sahni P, Chattopadhyay TK. En bloc resection of right-sided colonic adenocarcinoma with adjacent organ invasion. Int J Colorectal Dis. 2006;21:265-268. doi:10.1007/s00384-005-0756-z
Charnsangavej C, Whitley NO. Metastases to the pancreas and peripancreatic lymph nodes from carcinoma of the right side of the colon: CT findings in 12 patients. AJR Am J Roentgenol. 1993;160:49-52. doi:10.2214/ajr.160.1.8416644
Lee W-S, Lee WY, Chun H-K, Choi SH. En bloc Resection for Right Colon Cancer Directly Invading Duodenum or Pancreatic Head. Yonsei Med J. 2009;50(6):803-806. doi:10.3349/ymj.2009.50.6.803
Polk HCJr. Extended resection for selected adenocarcinomas of the large bowel. Ann Surg. 1972;175(6):892-899.
Davies GC, Ellis H. Radical surgery in locally advanced cancer of the large bowel. Clin Oncol. 1975;1(1):21-26.
Costa SR, Henriques AC, Horta SH, Waisberg J, Speranzini MB. En-bloc pancreatoduodenectomy and right hemicolectomy for treating locally advanced right colon cancer (T4): a series of five patients. Arq Gastroenterol. 2009;46(2):151-153. doi:10.1590/S0004-28032009000200014
Cameron JL, Riall TS, Coleman J, Belcher KA. One thousand consecutive pancreaticoduodenectomies. Ann Surg. 2006;244:10-15. doi:10.1097/01.sla.0000217673.04165.ea
Gouma DJ, van Geenen RC, van Gulik TM, de Haan RJ, de Wit LT, Busch OR, Obertop H. Rates of complications and death after pancreaticoduodenectomy: risk factors and the impact of hospital volume. Ann Surg. 2000;232:786-795.
Fathy O, Abdel-Wahab M, Elghwalby N, Sultan A, El-Ebidy G, Abu-Zeid M, Abd-Allah T, El-Shobary M, Fouad A, Kandeel T, Abo-Elenien A, El-Hah NG, Abdel-Raouf A, Sultan AM, Ezzat F. Surgical management of periampullary tumors: a retrospective study. Hepatogastroenterology. 2008;55(85):1463-1469.
Perez RO, Coser RB, Kiss DR, Iwashita RA, Jukemura J, Cunha JE, Habr-Gama A. Combined resection of the duodenum and pancreas for locally advanced colon cancer. Curr Surg. 2005;62(6):613-617. doi:10.1016/j.cursur.2005.03.021
Hunter JA, Ryan JA, Schultz P. En bloc resection of colon cancer adherent to other organs. Am J Surg. 1987;154:67-71. doi:10.1007/BF02482784
McGlone TP, Bemie WA, Elliot DW. Survival following extended operations for extracolonic invasion by colon cancer. Arch Surg. 1982;117:595-599. doi:10.1001/archsurg.1982.01380290055010.
Cirocchi R, Partelli S, Castellani E, Renzi C, Parisi A, Noya G, Falconi M. Right hemicolectomy plus pancreaticoduodenectomy vs partial duodenectomy intreatment of locally advanced right colon cancer invading pancreas and/or only duodenum. Surg Oncol. 2014;23(2):92-98. doi:10.1016/j.suronc.2014.03.003
Saiura A, Yamamoto J, Ueno M, Koga R, Seki M, Kokudo N. Long-term survival in patients with locally advanced colon cancer after en bloc pancreaticoduodenectomy and colectomy. Dis Colon Rectum. 2008;51:1548-1551. doi:10.1007/s10350-008-9318-0