This is a case of a pancreatic tumor with invasion of the celiac stem treated using the modified Appleby operation.Preoperatively,routine B-ultrasound,computed tomography,and magnetic resonance imaging were performed....This is a case of a pancreatic tumor with invasion of the celiac stem treated using the modified Appleby operation.Preoperatively,routine B-ultrasound,computed tomography,and magnetic resonance imaging were performed.In the perioperative period,the combined gallbladder was excised;the duration of the operation was 5 h and volume of blood loss was approximately 500 ml.Postoperatively,the liver function temporarily returned and after a liver protection treatment,it returned to normal within 2 weeks.The liver had normal arterial blood supply,and the postoperative course was uneventful.It is safe and feasible to resect the whole pancreatic body and tail tumor combined with celiac stem resection.It can improve the resection rate of tumor and relieve pain.展开更多
The aim of this retrospective study(1)from one of the largest European centres of pancreatic surgery was to report the surgical and oncological results of a series of 71 distal pancreatectomies with monobloc resection...The aim of this retrospective study(1)from one of the largest European centres of pancreatic surgery was to report the surgical and oncological results of a series of 71 distal pancreatectomies with monobloc resection of the celiac trunk(DP-CAR or modified Appleby)performed for locally advanced pancreatic cancer,over almost 20 years and comparing two periods:before 2013(n=16)and after 2014(n=55).展开更多
文摘This is a case of a pancreatic tumor with invasion of the celiac stem treated using the modified Appleby operation.Preoperatively,routine B-ultrasound,computed tomography,and magnetic resonance imaging were performed.In the perioperative period,the combined gallbladder was excised;the duration of the operation was 5 h and volume of blood loss was approximately 500 ml.Postoperatively,the liver function temporarily returned and after a liver protection treatment,it returned to normal within 2 weeks.The liver had normal arterial blood supply,and the postoperative course was uneventful.It is safe and feasible to resect the whole pancreatic body and tail tumor combined with celiac stem resection.It can improve the resection rate of tumor and relieve pain.
文摘The aim of this retrospective study(1)from one of the largest European centres of pancreatic surgery was to report the surgical and oncological results of a series of 71 distal pancreatectomies with monobloc resection of the celiac trunk(DP-CAR or modified Appleby)performed for locally advanced pancreatic cancer,over almost 20 years and comparing two periods:before 2013(n=16)and after 2014(n=55).
