Although @entity14 are fairly common surgical conditions, 5 to 12% of these @entity5 are locally advanced ( @entity5 ) upon diagnosis. In this particular situation, the efficacy of en bloc multivisceral resection has been proven. When @entity694 invades the proximal duodenum or even the pancreatic head, a challenging dilemma arises due to complexity of the curative surgical procedure. Therefore, en bloc pancreaticoduodenectomy with right hemicolectomy should be performed to obtain free margins. The present study reports three cases of locally advanced @entity694 invading the proximal duodenum. All of these cases underwent successful en bloc pancreaticoduodenectomy plus right hemicolectomy, with no @entity204 occurrence. Long-term survival was observed in two cases (30 and 50 months). In the third case, the @entity1 did not present any recurrence twelve months after surgical treatment. Multivisceral resection with en bloc pancreaticoduodenectomy should be considered for @entity1 who present acceptable risk for major surgery and no distant dissemination. This approach seems justified since the length of postoperative survival is longer in radically ressected groups (R0) than in palliativelly resected groups ( @entity7077 ).

En bloc pancreaticoduodenectomy and right hemicolectomy to treat locally advanced right XXXX : report of three cases.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['T4 tumors', 'tumors'] @entity7077 :: ('2840', 'Gene') :: ['R1-2'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal tumors'] @entity694 :: ('MESH:D003110', 'Disease') :: ['right-colon cancer'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity694 :: (MESH:D003110,Disease) :: ['colon cancer']
