A modified Appleby procedure successfully treated a pancreatic body tumor encasing the celiac axis, previously deemed inoperable. Utilizing a replaced left hepatic artery, surgeons safeguarded gastric and hepatic perfusion during the distal pancreatectomy and en bloc celiac axis resection. This rare vascular variant opened new avenues for safe surgical intervention, demonstrating that careful mapping and intraoperative assessments can enhance resectability in complex anatomical cases. Postoperative recovery was unremarkable, with histology confirming R0 resection.
Journal Article by Kumar S, Gupta R (…) Govil D et 2 al. in Int J Surg Case Rep
Copyright © 2025 The Authors. Published by Elsevier Ltd.. All rights reserved.