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.