The en bloc resection for a T4B hepatic
flexure of colon cancer is associated with a high perioperative
mortality and morbidity[4]. The
decision to perform an en bloc resection is often made during the
operation, due to the lack of exact preoperative data. Therefore, these
resections are challenging, even for an experienced colorectal
surgeon.
The aim of this study was to determine the immediate surgical outcome
and recovery of bowel function following a D3 expanded right
hemicolectomy + pancreaticoduodenectomy + sectional VI and VII hepatic
segmentectomy for a T4B hepatic flexure of colon cancer that had invaded
the liver, gall bladder, and pancreas/duodenum.