Modified Appleby procedure in a regional oncology dispensary

DOI: https://doi.org/10.29296/25877305-2020-05-09
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Issue: 
5
Year: 
2020

E. Toneev(1, 2); Professor A. Charyshkin(2), MD; A. Zhinov(1), Candidate of Medical Sciences; S. Gorodnov(1), Candidate of Medical Sciences; M. Vladimirkina(1); V. Orelkin(1); P. Chavkin(2) (1)Regional Clinical Oncology Dispensary, Ulyanovsk (2)Ulyanovsk State University

Surgical intervention in pancreatic diseases is a significant problem in modern oncology. When a tumor spreads to the celiac trunk in patients, the latter are generally recognized as unresectable. An operation including celiac trunk resection, followed by an anastomosis between the hepatic artery and the aorta (an Appleby procedure), was developed in the United States in the early 1950s. Subsequently, its modification was developed to avoid complex reconstructive interventions due to adequate collateral blood flow from the superior mesenteric arterial bed. In our clinic, the modified Appleby procedure for malignant neoplasm in the pancreatic body was done, yielding satisfactory immediate results. A clinical case is given.

Keywords: 
oncology
surgery
pancreatic cancer
hemipancreatectomy
Appleby procedure



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