Skip to main content

Advertisement

SpringerLink
Log in

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

  • Review Article
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Appleby LH. The coeliac axis in the expansion of the operation for gastric carcinoma. Cancer 1953; 6(4):704–7.

    Article  PubMed  CAS  Google Scholar 

  2. Denecke T, Andreou A, Podrabsky P, et al. Distal pancreatectomy with en bloc resection of the celiac trunk for extended pancreatic tumor disease: an interdisciplinary approach. Cardiovascular and interventional radiology 2011; 34(5):1058–64.

    Article  PubMed  Google Scholar 

  3. Kondo S, Katoh H, Shimizu T, et al. Preoperative embolization of the common hepatic artery in preparation for radical pancreatectomy for pancreas body cancer. Hepato-gastroenterology 2000; 47(35):1447–9.

    PubMed  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors wish to thank David Factor for his illustrations.

Author information

Authors and Affiliations

  1. Division of GI and General Surgery, Department of Surgery, Mayo Clinic College of Medicine, 200 1st ST SW, Rochester, MN, 55905, USA

    Rory L. Smoot & John H. Donohue

Authors
  1. Rory L. Smoot
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. John H. Donohue
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to John H. Donohue.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Smoot, R.L., Donohue, J.H. Modified Appleby Procedure for Resection of Tumors of the Pancreatic Body and Tail with Celiac Axis Involvement. J Gastrointest Surg 16, 2167–2169 (2012). https://doi.org/10.1007/s11605-012-1925-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11605-012-1925-3

Keywords

Search

Navigation