EN-BLOC PANCREATICODUODENECTOMY AND COLECTOMY FOR DUODENAL NEOPLASMS

Duodenal malignancy is rare and generally considered to have both a lo w resectability rate and a poor prognosis, Historically, the involveme nt of the colon or its mesentery has been considered a criterion for u nresectability by many surgeons because of the overall magnitude of su rgery involved with an en bloc colectomy and pancreaticoduodenectomy. In the past few years, several reports have noted a decrease in morbid ity and mortality rates for pancreaticoduodenectomy. The current safet y of the procedure suggests that the classical criteria for resectabil ity can now be reevaluated for certain neoplasms, We report two cases of pancreaticoduodenectomy with en bloc colectomy done as attempted cu rative resections for primary duodenal malignancies, The procedure was well tolerated by both patients; there were no major complications, a nd it provided both prolonged survival and effective palliation.