Appleby Procedure (Distal Pancreatectomy With Celiac Artery Resection) for Locally Advanced Pancreatic Carcinoma: Indications, Outcomes, and Imaging

Roberto Cannella; Amir A Borhani; Amer H Zureikat; Mitchell E Tublin

doi:10.2214/AJR.18.20887

Appleby Procedure (Distal Pancreatectomy With Celiac Artery Resection) for Locally Advanced Pancreatic Carcinoma: Indications, Outcomes, and Imaging

AJR Am J Roentgenol. 2019 Jul;213(1):35-44. doi: 10.2214/AJR.18.20887. Epub 2019 Mar 27.

Authors

Roberto Cannella^{1

2}, Amir A Borhani, Amer H Zureikat, Mitchell E Tublin

Affiliations

¹ Abdominal Imaging Division, Department of Radiology, University of Pittsburgh, 200 Lothrop St, Pittsburgh, PA 15213.
² Department of Biopathology and Medical Biotechnologies, Section of Radiology, University Hospital Paolo Giaccone, Palermo, Italy.

PMID: 30917026
DOI: 10.2214/AJR.18.20887

Abstract

OBJECTIVE. We describe the indications, surgical technique, outcome, and imaging findings in patients with pancreatic ductal adenocarcinoma (PDAC) treated with distal pancreatectomy and celiac artery resection (modified Appleby procedure). CONCLUSION. Distal pancreatectomy and celiac artery resection is a feasible surgery in selected patients with locally advanced PDAC. Knowledge of surgical technique and imaging features may aid radiologists in identifying patients with locally invasive PDAC who might benefit from resection and identifying characteristic distal pancreatectomy and celiac artery resection complications.

Keywords: CT; pancreatic adenocarcinoma; surgery.