Modified Appleby procedure for locally advanced pancreatic cancer - 25/04/18
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.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Modified Appleby procedure for locally advanced pancreatic cancer. |
• | Careful patient selection is required. |
• | Tumor Non-progression during neoadjuvant therapy is imperative. |
• | Resection and reconstruction of the hepatic artery may be needed. |
• | Preservation of the left gastric artery is preferred. |
Plan
Vol 215 - N° 5
P. 853-855 - mai 2018 Retour au numéro
Article précédent
- Discussion of “Breast cancer in women under 50: Most are not high risk”
- Elaine McKevitt
- Discussion of “Modified Appleby procedure for locally advanced pancreatic cancer”
- Andrzej K. Buczkowski
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