ArticleCureus2025
Pancreas-Sparing Duodenal Resection in Colorectal Adenocarcinoma With Local Invasion of the Duodenum: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
A 53-year-old male patient presented with right upper abdominal pain, anemia, and weight loss. Colonoscopy revealed a non-obstructing hepatic flexure growth, and biopsy confirmed moderately differentiated adenocarcinoma. Imaging showed a non-metastatic, locally advanced right colon malignancy involving the ascending colon, hepatic flexure, and proximal transverse colon, with invasion into the pylorus of the stomach and second/third parts of the duodenum, pericolonic nodes, and segmental superior mesenteric vein (SMV) abutment. Following five cycles of neoadjuvant chemotherapy with stable disease on positron emission tomography-computed tomography (PET-CT), the patient underwent an en bloc right hemicolectomy with pancreas-sparing duodenal resection (PSDR). The postoperative course was uneventful, and the patient recovered well. This case highlights PSDR as a feasible alternative to pancreaticoduodenectomy (PD) in select cases of locally advanced right colon cancer (LARCC) invading the duodenum, preserving pancreatic function and reducing morbidity.
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