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Journal of Gastrointestinal Surgery

, Volume 16, Issue 11, pp 2167–2169 | Cite as

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

  • Rory L. Smoot
  • John H. Donohue
Review Article

Abstract

Background

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.

Keywords

Pancreas Celiac artery Hepatic artery Pancreatectomy 

Notes

Acknowledgments

The authors wish to thank David Factor for his illustrations.

References

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    Yamamoto Y, Sakamoto Y, Ban D, et al. Is celiac axis resection justified for T4 pancreatic body cancer? Surgery 2012; 151(1):61–9.PubMedCrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2012

Authors and Affiliations

  1. 1.Division of GI and General Surgery, Department of SurgeryMayo Clinic College of MedicineRochesterUSA

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