Multivisceral resection for colon cancer with adjacent organ invasion: Whipple procedure, right hemicolectomy, and hepatic segmentectomy

Authors

  • Jose D. Perez Carriles Department of Gastrointestinal Surgery, XXI Century National Medical Center, Mexico
  • Marco A. G. Martinez ISSSTE Regional of Puebla, Puebla, Mexico
  • Rosaura J. S. Rodriguez Department of Gastrointestinal Surgery, XXI Century National Medical Center, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20250726

Keywords:

Whipple procedure, Right hemicolectomy, Hepatic segmentectomy, Colon tumor

Abstract

Female patient, 55 years old, with a medical history of arterial hypertension and type 2 diabetes mellitus, diagnosed with a tumor in the hepatic flexure of the colon infiltrating the duodenum, the pancreatic head, the biliary tract, and segment V of the liver. A right hemicolectomy, Whipple procedure, and hepatic segmentectomy of segment V were performed. The patient exhibited a favorable postoperative course on the first day without signs of immediate complications. This case highlights the importance of multivisceral resection in the management of advanced colon tumors with invasion into multiple organs.

 

Metrics

Metrics Loading ...

References

World Health Organization. Colorectal cancer. Available at: https://www.who.int/news-room/fact-sheets/detail/colorectal-cancer. Accessed on 28 January 2025.

García-Osogobio S, Téllez-Ávila FI, Méndez N, Uribe-Esquivel M. Results of the first program of colorectal cancer screening in Mexico. Endoscopia. 2015;27(2):59-63. DOI: https://doi.org/10.1016/j.endomx.2015.06.001

Kurbatov V, Resio BJ, Cama CA, Heller DR, Cha C, Zhang Y, et al. Liver-first approach to stage IV colon cancer with synchronous isolated liver metastases. J Gastrointest Oncol. 2020;11(1):76-83. DOI: https://doi.org/10.21037/jgo.2020.01.03

Karim SAM, Abdulla KS, Abdulkarim QH, Rahim FH. The outcomes and complications of pancreaticoduodenectomy (Whipple procedure): Cross sectional study. Int J Surg. 2018;52:383-7. DOI: https://doi.org/10.1016/j.ijsu.2018.01.041

Birkett RT, O’Donnell MMT, Epstein AJ, Saur NM, Bleier JIS, Paulson EC. Elective colon resection without curative intent in stage IV colon cancer. Surg Oncol. 2019;28:110-5. DOI: https://doi.org/10.1016/j.suronc.2018.11.010

Watanabe J, Hanaki T, Arai Y, Tokuyasu N, Sakamoto T, Honjo S, et al. Perioperative Outcomes after Pancreaticoduodenectomy in Elderly Patients. Hepatogastroenterology. 2015;62(139):590-4.

Croner RS, Merkel S, Papadopoulos T, Schellerer V, Hohenberger W, Goehl J. Multivisceral Resection for Colon Carcinoma. Dis Colon Rectum. 2009;52(8):1381. DOI: https://doi.org/10.1007/DCR.0b013e3181ab580b

Das B, Fehervari M, Hamrang‐Yousefi S, Jiao LR, Pai M, Jenkins JT, et al. Pancreaticoduodenectomy with right hemicolectomy for advanced malignancy: a single UK hepatopancreaticobiliary centre experience. Colorectal Dis. 2023;25(1):16-23. DOI: https://doi.org/10.1111/codi.16303

Eveno C, Lefevre JH, Svrcek M, Bennis M, Chafai N, Tiret E, et al. Oncologic results after multivisceral resection of clinical T4 tumors. Surgery. 2014;156(3):669-75. DOI: https://doi.org/10.1016/j.surg.2014.03.040

Narayanan S, Martin AN, Turrentine FE, Bauer TW, Adams RB, Zaydfudim VM. Mortality after pancreaticoduodenectomy: assessing early and late causes of patient death. J Surg Res. 2018;231:304-8. DOI: https://doi.org/10.1016/j.jss.2018.05.075

André T, Boni C, Mounedji-Boudiaf L, Navarro M, Tabernero J, Hickish T, et al. Oxaliplatin, fluorouracil, and leucovorin as adjuvant treatment for colon cancer. N Engl J Med. 2004;350(23):2343-51. DOI: https://doi.org/10.1056/NEJMoa032709

Cukier M, Smith AJ, Milot L, Chu W, Chung H, Fenech D, et al. Neoadjuvant chemoradiotherapy and multivisceral resection for primary locally advanced adherent colon cancer: a single institution experience. Eur J Surg Oncol. 2012;38(8):677-82. DOI: https://doi.org/10.1016/j.ejso.2012.05.001

Simmonds PC. Palliative chemotherapy for advanced colorectal cancer: systematic review and meta-analysis. Colorectal Cancer Collaborative Group. BMJ. 2000;321(7260):531-5. DOI: https://doi.org/10.1136/bmj.321.7260.531

Downloads

Published

2025-03-11

How to Cite

Perez Carriles, J. D., Martinez, M. A. G., & Rodriguez, R. J. S. (2025). Multivisceral resection for colon cancer with adjacent organ invasion: Whipple procedure, right hemicolectomy, and hepatic segmentectomy. International Journal of Research in Medical Sciences, 13(4), 1654–1656. https://doi.org/10.18203/2320-6012.ijrms20250726

Issue

Section

Case Reports