Other patients were cured without postoperative complications. One patient with anastomotic leakage healed within 3 weeks.
10 underwent duodenal diverticularization. 4 patients underwent pancreaticoduodenectomy combined with right hemicolectomy for colon cancer involving the pancreatic head. Conservative resection of right-sided colon was performed in 18 patients with wide invasion. Dudenojejunostomy was used to reconstruct the large defect measuring more than 5 cm in 3 patients. Pedicled ileal flap was used to cover the large duodenal defect measuring 2.0 - 3.0 cm in 5 patients. All the cases were divided into three types (local invasion, regional invasion, and cancer with internal fistula) according to duodenal defect, including local invasion ( 2.0 cm) and the presence of internal fistula.ΔΆ5 patients with local invasion underwent en bloc resection of the duodenal wall. Their clinicopathological data were retrospectively reviewed and analyzed. Sixty-five patients with right colon carcinoma of hepatic flexure invading the duodenum, treated in our department from 1987 to 2007, were included in this study. To discuss surgical treatment of right colon carcinoma of hepatic flexure invading the duodenum.