Combined right hemicolectomy and pancreaticoduodenectomy for locally advanced XXXX .

@entity1 @entity190 @entity5 @entity260 @entity358
Extracolonic invasion of the duodenum and/or pancreatic head rarely occurs in @entity1 with @entity5 . However, when necessary, combined radical operation is a challenge to the surgeon. We reported 7 @entity1 with locally advanced @entity5 who underwent combined right hemicolectomy (RH) and pancreaticoduodenectomy (PD) due to direct involvement of the duodenum or pancreatic head. This study included four males and three females with a mean age of 66.9+/-5.9 years. Computed tomography (CT) scans revealed @entity5 with duodenal invasion (5 @entity1 ) and pancreatic invasion (2). The mean operation time was 410+/-64 minutes and the estimated @entity190 was 514+/-157 mL. After the operation, the mean postoperative hospital stay was 22.1+/-7.2 days. Five @entity1 had @entity260 . The mean follow-up time was 16.4+/-5.9 months. During this period, three @entity1 died from @entity5 recurrence, one from @entity260 , one from @entity358 , and two survived until the last scheduled follow-up. Five @entity1 survived more than one year. Combined RH and PD for locally advanced @entity5 can be performed safely, thus providing a long-term survival rate in selected @entity1 in a high-volume center.
