Published in:
01-12-2020 | Pancreatic Cancer | ASO Author Reflections
ASO Author Reflections: Preoperative Embolization or Arterial Reconstruction for Distal Pancreatectomy with Celiac Axis Resection
Authors:
Guillaume Carrier, MD, Pierre Alric, MD, PhD, Pierre-Emmanuel Colombo, MD, PhD
Published in:
Annals of Surgical Oncology
|
Special Issue 3/2020
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Excerpt
Resectability of pancreatic carcinoma (PC) is directly linked to vascular extension. The modified “Appleby” procedure has been applied for locally advanced body/tail PC and includes distal pancreatectomy with en bloc resection of the celiac axis (CA) and the common hepatic artery (CHA). Liver arterial supply is then based on the retrograde blood flow through the pancreaticoduodenal arcades and the gastroduodenal artery (GDA). However, a risk of severe postoperative liver ischemia remains after this procedure. …