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. DonohueEmail author
Review Article



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.


Pancreas Celiac artery Hepatic artery Pancreatectomy 



The authors wish to thank David Factor for his illustrations.


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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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