Modified Appleby procedure in a regional oncology dispensary


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Abstract

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.

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About the authors

E. A Toneev

Regional Clinical Oncology Dispensary

Email: e.toneev@inbox.ru
Professor Ulyanovsk

A. L Charyshkin

Regional Clinical Oncology Dispensary

Ulyanovsk

A. V Zhinov

Regional Clinical Oncology Dispensary

Candidate of Medical Sciences Ulyanovsk

S. V Gorodnov

Regional Clinical Oncology Dispensary

Candidate of Medical Sciences Ulyanovsk

M. S Vladimirkina

Regional Clinical Oncology Dispensary

Ulyanovsk

V. I Orelkin

Regional Clinical Oncology Dispensary

Ulyanovsk

P. M Chavkin

Ulyanovsk State University

Ulyanovsk

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