Modified Appleby Procedure for Resection of Tumors of the Pancreatic Body and Tail with Celiac Axis Involvement

Overview

Journal J Gastrointest Surg

Specialty Gastroenterology

Date 2012 Jun 15

PMID 22696234

Citations 5

Authors

Rory L Smoot

John H Donohue

Affiliations

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Abstract

Involvement of the celiac axis by pancreatic tumors of the body and tail is no longer considered an absolute contraindication to resection. In highly selected patients, resection is possible, relying on collateral circulation through the gastroduodenal artery to maintain liver perfusion. Our approach to intraoperative assessment and resection is described herein.

Citing Articles

Celiac Axis Resection with Distal Pancreatectomy (Modified Appleby Procedure) Allows for R0 Resection of Pancreatic Body and Tail Mass Following Neoadjuvant Therapy: Case Report and Literature Review.

Morris M, Price T, Callahan Z, Yeo C Case Rep Pancreat Cancer. 2019; 2(1):53-57.

PMID: 30631817 PMC: 6319680. DOI: 10.1089/crpc.2016.0011.

Inframesocolic Superior Mesenteric Artery First Approach as an Introductory Procedure of Radical Antegrade Modular Pancreatosplenectomy for Carcinoma of the Pancreatic Body and Tail.

Aosasa S, Nishikawa M, Hoshikawa M, Noro T, Yamamoto J J Gastrointest Surg. 2015; 20(2):450-4.

PMID: 26601979 DOI: 10.1007/s11605-015-3034-6.

Modified Appleby Procedure with Arterial Reconstruction for Locally Advanced Pancreatic Adenocarcinoma: A Literature Review and Report of Three Unusual Cases.

Latona J, Lamb K, Pucci M, Maley W, Yeo C J Gastrointest Surg. 2015; 20(2):300-6.

PMID: 26525205 DOI: 10.1007/s11605-015-3001-2.

Preoperative Diagnostic Angiogram and Endovascular Aortic Stent Placement for Appleby Resection Candidates: A Novel Surgical Technique in the Management of Locally Advanced Pancreatic Cancer.

Trabulsi N, Pelletier J, Abraham C, Vanounou T HPB Surg. 2015; 2015:523273.

PMID: 26491217 PMC: 4600866. DOI: 10.1155/2015/523273.

Splenic artery use for arterial reconstruction in pancreatic surgery.

Hackert T, Weitz J, Buchler M Langenbecks Arch Surg. 2014; 399(5):667-71.

PMID: 24789810 DOI: 10.1007/s00423-014-1200-z.

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