“…In the literature, it was published that 8 patients underwent R0 en bloc colectomy and PD for locally advanced colon carcinoma and survived nearly or more than ten years (Saiura et al, five patients [6]; Praderi et al, two patients [34]; and Berrospi et al, one patient [23]). The reported 5-year survival after R0, en bloc RC + PD, is 52% [35]; on the other hand, 5-year survival is 0−23% [3, 20, 22, 36] in patients who underwent surgery by separation of adhesions to adjacent organs. Median survival was 42 months in our series; in one extreme case that had two recurrences after RC and PD, she underwent major surgeries for local recurrences (pelvic exenteration and CRS and HIPEC).…”