Modified Appleby procedure for locally advanced pancreatic cancer

Shanley Deal; Derek Nathan; Flavio G. Rocha

doi:10.1016/j.amjsurg.2018.01.004

Modified Appleby procedure for locally advanced pancreatic cancer

Shanley Deal, Derek Nathan, Flavio G. Rocha

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	853-855
Number of pages	3
Journal	American journal of surgery
Volume	215
Issue number	5
DOIs	https://doi.org/10.1016/j.amjsurg.2018.01.004
State	Published - May 2018
Externally published	Yes

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2018.01.004

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title = "Modified Appleby procedure for locally advanced pancreatic cancer",

abstract = "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.",

author = "Shanley Deal and Derek Nathan and Rocha, {Flavio G.}",

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year = "2018",

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AU - Nathan, Derek

AU - Rocha, Flavio G.

PY - 2018/5

Y1 - 2018/5

N2 - 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.

AB - 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.

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JO - American journal of surgery

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ER -

Modified Appleby procedure for locally advanced pancreatic cancer

Abstract

ASJC Scopus subject areas

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