Management of duodenal involvement in locally advanced colonic carcinoma

Citation

Biyani DK, Speake D, Siriwardena AK & Watson A (2007) Management of duodenal involvement in locally advanced colonic carcinoma. Colorectal Disease, 9 (2), pp. 178-181. https://doi.org/10.1111/j.1463-1318.2006.01156.x

Abstract
Removal of locally advanced right-sided colonic carcinoma involving the duodenum can be challenging. There are few data on the optimal surgical approach. Adjacent organ involvement is associated with a poor prognosis and may be classified as inoperable with patients having palliative bypass procedures rather than primary resection. Survival is however improved after en bloc resection of adjoining viscera compared with intestinal bypass. We present a variety of surgical options depending on the extent of local invasion and the debility of the patient.

Keywords
duodenum; advanced colon cancer; technique

Journal
Colorectal Disease: Volume 9, Issue 2

People

Mr Angus Watson

Honorary Professor, Health Sciences Highland