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  • Title: Pedicled ileal flap to repair large duodenal defect after right hemicolectomy for right colon cancer invading the duodenum.
    Author: Ishiguro S, Moriura S, Kobayashi I, Tabata T, Yoshioka Y, Matsumoto T.
    Journal: Surg Today; 2004; 34(4):386-8. PubMed ID: 15052461.
    Abstract:
    Although right-sided colon cancer occasionally invades the second part of the duodenum, there is no standard procedure for reconstructing a large duodenal defect after resection. This report describes a new approach we recently devised. After resecting the right hemicolon and the involved duodenum, a segment of terminal ileum was isolated on the vascular pedicle, sacrificing the adjacent ileum. We created a flap by opening the segment along the antimesenteric border, and used this flap to cover the defect. This method does not create a nonanatomical bypass and fewer intestinal anastomoses are required than for Roux-en-Y reconstruction.
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