The Appleby procedure is a type of pancreatic cancer resection.
With the Appleby procedure, there is a distal pancreatectomy with en bloc resection of the celiac axis. After the procedure, the hepatic blood supply is supplied entirely through the gastroduodenal artery.
The procedure is currently used in some centers with carefully selected patients.
- 1. APPLEBY LH. The coeliac axis in the expansion of the operation for gastric carcinoma. Cancer. 1953;6 (4): 704-7. Pubmed citation
- 2. Smoot RL, Donohue JH. Modified Appleby procedure for resection of tumors of the pancreatic body and tail with celiac axis involvement. J. Gastrointest. Surg. 2012;16 (11): 2167-9. doi:10.1007/s11605-012-1925-3 - Pubmed citation