Duodenocolic Fistula Originating from Ascending Colon Cancer in the Blind Loop

概要

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We herein present the case of a 68-year-old male with a duodenocolic fistula originating from ascending colon cancer in the blind loop, which was resected by a right hemicolectomy with pancreaticoduodenectomy. The present case achieved 14 months of disease-free survival after the operation. There have been reported, in the literature in Japanese and English, a total of 26 cases including the present one that have undergone a right hemicolectomy with pancreaticoduodenectomy for right-sided colon cancer with duodenocolic fistulae. The survival periods in these cases ranged from 5 months to 12 years after the operation. Thirteen patients survived for over 1 year. A right hemicolectomy with pancreaticoduodenectomy for locally advanced right-sided colon cancers with duodenal invasion could be expected to yield long-term survival if peritoneal and distant metastases are not present.
長崎大学医学部の論文