Gastropancreatoduodenal resection in the treatment of duodenal cancer in a patient who previously underwent surgery on organs of the hepatoduodenal zone
D. Sh. Salimov,
V. V. Alekseev,
E. P. Kraynyukov,
E. A. Gitelzon,
V. A. Suvorov,
A. V. Shilyaev,
V. R. Novruzov https://doi.org/10.17238/2072-3180-2025-4-158-163
Abstract
Duodenal cancer is a rare oncological disease that presents significant difficulties in diagnosis and treatment. This article presents a clinical observation of a 35-year-old man who had previously undergone surgery for a chronic disease of the hepatoduodenal zone. The diagnosis included endoscopic, radiological, and histological methods, which confirmed the presence of a highly differentiated adenocarcinoma of the duodenum with infiltration into the head of the pancreas and the common bile duct. The patient underwent an extended gastropancreatoduodenal resection with lymph node dissection. A histological examination showed no lymphovascular invasion or metastases in the 30 lymph nodes examined. The postoperative period was uncomplicated. No recurrence of the disease was observed during a 5-year follow-up period.
About the Authors
D. Sh. Salimov
Central Military Clinical Hospital n.a. P.V. Mandrykа;
Peoples' Friendship University of Russia
Russian Federation
Russian Federation
Salimov Dmitry Shamilevich – Doctor of Medical Sciences, Head of the Surgical Department
107014 Moscow, Bolshaya Olenya str., 8a.
V. V. Alekseev
Ivanovo Regional Oncology Dispensar
Russian Federation
Russian Federation
Alekseev Valentin Valerievich – Candidate of Medical Sciences, Deputy Chief Physician for Medical Work
153040 Ivanovo region, Ivanovo, Lyubimova str., 5
E. P. Kraynyukov
Federal State Budgetary Institution 413 EKG of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Krainukov Evgeny Pavlovich – resident of the surgical department with 30 beds and rooms for ophthalmological patients
Marshal of the Soviet Union G.K. Zhukov ave., Volgograd, 400010
E. A. Gitelzon
Peoples' Friendship University of Russia named after Patrice Lumumba
Russian Federation
Russian Federation
Gitelzon Ekaterina Aleksandrovna – MD, PhD, associate professor of the Department of the Hospital Surgery with the course of the Pediatric Surgery, Institute of Medicine
117198, Moscow, Miklukho-Maklaya St., 8
V. A. Suvorov
Ivanovo Regional Oncology Dispensar
Russian Federation
Russian Federation
Suvorov Vladimir Aleksandrovich – Candidate of Medical Sciences, Head of the Department of Thoracoabdominal Oncosurgery
153040 Ivanovo region, Ivanovo, Lyubimova str., 5
A. V. Shilyaev
Ivanovo Regional Oncology Dispensar
Russian Federation
Russian Federation
Shilyaev Alexey Vladimirovich – Candidate of Medical Sciences, Deputy Chief Physician for Surgery
153040 Ivanovo region, Ivanovo, Lyubimova str., 5
V. R. Novruzov
Ivanovo Regional Oncology Dispensar
Russian Federation
Russian Federation
Novruzov Vugar Rafikovich – oncologist at the thoracoabdominational Department of Thoracoabdominal Oncosurgery
153040 Ivanovo region, Ivanovo, Lyubimova str., 5
References
1. Krieger A.G., Gorin D.S., Panteleev V.I., Kaldarov A.R. Diagnosis and surgical treatment of duodenal tumors. Surgery. The N.I. Pirogov Magazine, 2019, № 1, pр. 5–13. (In Russian)
2. Colon Cancer. Version 3.2025 – April 24, 2025 National Comprehensive Cancer Network (NCCN). Guidelines for Small Bowel Adenocarcinoma.
3. Kulikov V.V., Grzhimolovsky A.V. Tumors of the small intestine. Surgery. The N.I. Pirogov Magazine, 2008, № 5, pp. 65–69. (In Russian)
4. Lewis B.S., Kornbluth A., Waye J.D. Small bowel tumours: yield of enteroscopy. Gut., 1991, № 32, рр. 763–765.
5. Yaitsky N.A., Sedov V.M. Intestinal tumors: monograph. St. Petersburg: ANT-M, 1995, 367 p. (In Russian)
6. Cloyd J.M., George E., Visser B.C. Duodenal adenocarcinoma: advances in diagnosis and surgical management. World J Gastrointest Surg., 2016, № 8, pp. 212–221.
7. Khanal S., Joshi U., Bhattarai A., Agrawal V., Sayami G., Bhandari R.S. Primary Duodenal Adenocarcinoma: Uncommon Tumor, Uncommon Presentation. A Case Report and Review of the Literature. Int Med Case Rep J., 2020, May 15, № 13, рр. 165–169. https://doi.org/10.2147/IMCRJ.S256107
8. Yabuuchi Y., Yoshida M., Kakushima N., Kato M., Iguchi M., Yamamoto Y., Kanetaka K., Uraoka T., Fujishiro M., Sho M. Risk Factors for Non-Ampullary Duodenal Adenocarcinoma: A Systematic Review. Dig Dis., 2022, № 40 (2). рр. 147–155. https://doi.org/10.1159/000516561
Review
For citations:
Salimov D.Sh., Alekseev V.V., Kraynyukov E.P., Gitelzon E.A., Suvorov V.A., Shilyaev A.V., Novruzov V.R. Gastropancreatoduodenal resection in the treatment of duodenal cancer in a patient who previously underwent surgery on organs of the hepatoduodenal zone. Moscow Surgical Journal. 2025;(4):158-163. (In Russ.) https://doi.org/10.17238/2072-3180-2025-4-158-163
Views:
8
Email this article 