Pancreaticoduodenectomy for primary locally advanced adenocarcinoma of duodenum

EXCLUSIVE SURGICAL CASE. Primary carcinoma of duodenum is very rare. This clinical case seems to be exclusive. We have performed surgery to a young man for the tumor of distal descendens and horizontal parts of duodenum. Tumor extended from Vater's papilla to Treitz ligament with invasion of mesentericum, jejunum vessels, mesocolon, paraaortal fat. Tumor was located beetwen mesenteric vessels and aortocaval space. Invasion was detected in paraaortal fatty tissue and right perinephrium with partial compressi