Modified Appleby procedure for locally advanced pancreatic cancer

Shanley Deal, Derek Nathan, Flavio G. Rocha

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Locally advanced pancreas cancer (LAPC) involving the celiac axis is typically considered unresectable and carries a poor prognosis. We present a case of a patient with LAPC who underwent a modified Appleby procedure for tumor clearance following neoadjuvant therapy. Technical aspects include diagnostic laparoscopy to exclude occult metastatic disease followed by complete mobilization of the pancreas and spleen, preservation of the left gastric artery, and resection and reconstruction of the common hepatic artery. With proper patient selection and preparation, LAPC with celiac axis involvement can be safely resected with favorable outcomes.

Original languageEnglish (US)
Pages (from-to)853-855
Number of pages3
JournalAmerican journal of surgery
Issue number5
StatePublished - May 2018
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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