Original Article
Superior mesenteric vein-identified middle line approach in patients of colonic cancer(T4b) undergoing right hemicolectomy combined with pancreaticoduodenectomy
Cheng Yong, Han Guangsen, Gu Yanhui, Zhang Shijia, Hua Kelei, Wang Zhenlei
Published 2020-01-25
Cite as Chin J Gen Surg, 2020,35(01): 1-3. DOI: 10.3760/cma.j.issn.1007-631X.2020.01.001
Abstract
ObjectiveTo explore the safety and efficacy of middle line approach identified with superior mesenteric vein in the right hemicolectomy combined with pancreaticoduodenectomy for colonic carcinoma involing liver and duodenun.
MethodsClinical data of 13 patient′s with right colonic cancer(T4b) undergoing right hemicolectomy combined with pancreaticoduodenectomy from Jan 2016 to Jul 2019 in He′nan Provincial Tumor Hospital were retrospectively analyzed. The superior mesenteric vein was used to mark the medial border of tumor resection. Vertical cutline was made to transverse mesocolon and all the way done to the root of superior mesenteric vein, the pancreas was cut in front of superior mesenteric vein, superior mesenteric artery and the affiliated lymph nodes were dissected. The stomach and pancreas were transected, the specimen was removed. Then the GI tract was reconstructed.
ResultsSurgery was successful in all 13 patients . The operation time was (249±27) min, blood loss was (442±129)ml, 2 cases suffered pancreatic fistula, there was no biliary fistula, and 1 case of delayed gastric emptying. There were no other major complications. The number of lymph node dissection was (20±4) and hospital stay was (23.2±9.4) d.
ConclusionsIt is safe and feasible to use the superior mesenteric vein-identified middle line approach in patients of right colonic cancer undergoing right hemicolectomy plus pancreaticoduodenectomy.
Key words:
Colonic neoplasms; Mesenteric veins; Pancreaticoduodenectomy; Colectomy
Contributor Information
Cheng Yong
Department of General Surgery, Zhengzhou University Cancer Hospital, He′nan Cancer Hospital, Zhengzhou 450008, China
Han Guangsen
Department of General Surgery, Zhengzhou University Cancer Hospital, He′nan Cancer Hospital, Zhengzhou 450008, China
Gu Yanhui
Department of General Surgery, Zhengzhou University Cancer Hospital, He′nan Cancer Hospital, Zhengzhou 450008, China
Zhang Shijia
Department of General Surgery, Zhengzhou University Cancer Hospital, He′nan Cancer Hospital, Zhengzhou 450008, China
Hua Kelei
Department of General Surgery, Zhengzhou University Cancer Hospital, He′nan Cancer Hospital, Zhengzhou 450008, China
Wang Zhenlei
Department of General Surgery, Zhengzhou University Cancer Hospital, He′nan Cancer Hospital, Zhengzhou 450008, China