Obstructive Ascending Colon Cancer with Invasion to the Duodenum Treated by Preoperative Colonic Stenting Followed by Right Hemicolectomy and Pancreaticoduodenectomy—A Case Report—

Abstract

A 79-year-old woman visited our hospital complaining of abdominal distention and vomiting. She was diagnosed with cT4b(duodenum) N1aM0 Stage IIIc ascending colon cancer. A self-expandable metallic stent was placed in order to start oral intake and rehabilitation immediately, and subtotal stomach-preserving pancreaticoduodenectomy accompanied by right hemicolectomy was performed. Total operation time was 317 min, with blood loss of 170 g. She was discharged on postoperative day 19, and 3 months have passed with no indication of recurrence. Preoperative colonic stenting for obstructive colon cancer invading to the duodenum seemed to be a beneficial strategy in terms of preoperative improvement of patients' nutritional status and ADL, which may lead to a better perioperative outcome for this complex and rare disease condition.