Le Treut Y P, Echimane A, Maurin B, Maillet B, Bricot R
J Chir (Paris). 1984 Jun-Jul;121(6-7):411-8.
Malignant duodenocolic fistula is nearly exclusively the fact of carcinoma of the hepatic flexure; it is one of the most uncommon and particular evolutive complication, because of its rapid nutritional disturbances and difficult surgical management. The authors report the case of a 78 year old man, still alive 18 months after a one staged right colectomy and pancreatico duodenectomy. The analysis of 26 others cases from literature treated with the same procedure or, most frequently, with right colectomy and partial duodenectomy allows to discuss indications and results of radical surgery: though it is possible at least in half cases, it represent a much better functional solution compared to complex by-pass procedures: more over its seems to be prognostically justifiable: out of 23 curative resected patients in this series, 6 at least (26%) are still alive from 9 to 26 years after.
恶性十二指肠结肠瘘几乎完全是肝曲癌的表现；它是最罕见且特殊的进展性并发症之一，因其会迅速导致营养紊乱且手术处理困难。作者报告了一例78岁男性患者的病例，该患者在接受一期右半结肠切除术和胰十二指肠切除术后18个月仍存活。对文献中另外26例接受相同手术或最常见的右半结肠切除术和部分十二指肠切除术治疗的病例进行分析后，得以探讨根治性手术的适应证和结果：尽管至少在半数病例中可行，但与复杂的旁路手术相比，它是一种功能更好的解决方案；此外，从预后角度看似乎也是合理的：在本系列中接受根治性切除的23例患者中，至少有6例（26%）在术后9至26年仍存活。
