Pancreas consists of the head, neck, body, and tail; It is adjacent to vital vessels such as the portal vein, hepatic artery, celiac artery, and mesenteric artery. The type of surgery to be performed varies according to the location of the cancer in the pancreas.
Appleby surgery is a promising procedure that provides a chance for surgery to patients who are considered inoperable in cases where pancreatic body and tail cancers have spread to the vessels (celiac artery) in that region.
Preoperative evaluation of the patient with imaging methods, confirmation of adequate blood flow to the liver using ultrasonography during the operation, and the surgeon's experience are the most important cornerstones of this surgery.