1. < Pancreatic Cancer

Appleby Procedure (Distal Pancreatectomy With Celiac Artery Resection)

Posted by lisarlee @lisarlee, Feb 18, 2020

My surgeon is thinking about performing this procedure on me. Anyone here had this? I am curious about expected outcome and complications.

Interested in more discussions like this? Go to the Pancreatic Cancer Support Group.

miracle07 | @miracle07 | Nov 9, 2023
In reply to @miracle07 "HI! I AM SO TRULY SORRY TO HEAR YOUR HUSBAND HAS STAGE 4 PANCREATIC CANCER. GOOD..." + (show)
@miracle07

HI!
I AM SO TRULY SORRY TO HEAR YOUR HUSBAND HAS STAGE 4 PANCREATIC CANCER.
GOOD NEWS IS THAT HIS DOCTOR IS SAYING HE IS A CANDIDATE FOR THE SURGERY.
I HAD THE APPLEBY PROCEDURE A FEW WEEKS AGO.
I AM BACK HOME ALREADY.
I HAD AN AMAZING DOCTOR.
HIS NAME IS DR CHARLES YEO IN PITTSBURGH PA.
WE LIVE IN ANOTHER STATE AND DROVE THE 18 HOURS FOR MY SURGERY.
I HAD STAGE 3 PANCREATIC CANCER AND THE CANCER WAS WRAPPED AROUND ALL MY ARTERIES EXCEPT ONE ARTERY. MY SURGERY WAS A 50 PERCENT CHANCE THEY WOULD NOT BE ABLE TO REMOVE THE TUMOR BECAUSE OF WHERE IT WAS.
SURGERY WAS SUCCESSFUL.
MY SURGEON AND HIS TEAM SAVED MY LIFE.
I RECOMMEND DR CHARLES YEO/PHILADELPHIA PA.
IF YOU HAVE ANY OTHER QUESTIONS PLEASE REACH OUT.
GOOD LUCK TO YOU AND YOUR HUSBAND.

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PHILADELPHIA PA NOT PITTSBURGH PA.
IS WHERE THE SURGEON IS.

REPLY
Moderator
Colleen Young, Connect Director | @colleenyoung | Nov 13, 2023
In reply to @miracle07 "HI! I AM SO TRULY SORRY TO HEAR YOUR HUSBAND HAS STAGE 4 PANCREATIC CANCER. GOOD..." + (show)
@miracle07

HI!
I AM SO TRULY SORRY TO HEAR YOUR HUSBAND HAS STAGE 4 PANCREATIC CANCER.
GOOD NEWS IS THAT HIS DOCTOR IS SAYING HE IS A CANDIDATE FOR THE SURGERY.
I HAD THE APPLEBY PROCEDURE A FEW WEEKS AGO.
I AM BACK HOME ALREADY.
I HAD AN AMAZING DOCTOR.
HIS NAME IS DR CHARLES YEO IN PITTSBURGH PA.
WE LIVE IN ANOTHER STATE AND DROVE THE 18 HOURS FOR MY SURGERY.
I HAD STAGE 3 PANCREATIC CANCER AND THE CANCER WAS WRAPPED AROUND ALL MY ARTERIES EXCEPT ONE ARTERY. MY SURGERY WAS A 50 PERCENT CHANCE THEY WOULD NOT BE ABLE TO REMOVE THE TUMOR BECAUSE OF WHERE IT WAS.
SURGERY WAS SUCCESSFUL.
MY SURGEON AND HIS TEAM SAVED MY LIFE.
I RECOMMEND DR CHARLES YEO/PHILADELPHIA PA.
IF YOU HAVE ANY OTHER QUESTIONS PLEASE REACH OUT.
GOOD LUCK TO YOU AND YOUR HUSBAND.

Jump to this post

What a hopeful and helpful post, @miracle07. Will you have any further treatment?

REPLY
1 reply
miracle07 | @miracle07 | Nov 14, 2023
In reply to @colleenyoung "What a hopeful and helpful post, @miracle07. Will you have any further treatment?" + (show)
@colleenyoung

What a hopeful and helpful post, @miracle07. Will you have any further treatment?

Jump to this post

Hi
Yes
Chemo
Just to make sure we call them little stinkers went in my blood stream.
I had previously done before surgery
12 rounds of chemo
6 weeks of radiation with a chemo booster.
That abled me to have the surgery. Because of the engulfment wrapped around the arties.
Faith Walk Forward
Trust The Process

REPLY
gramstrong23 | @gramstrong23 | Nov 18, 2023
In reply to @colleenyoung "Welcome @gramstrong23. I moved your question to this existing discussion so that you can more easily..." + (show)
@colleenyoung

Welcome @gramstrong23. I moved your question to this existing discussion so that you can more easily connect with others like @hdholakia @beachdog and @lisarlee:
- Appleby Procedure (Distal Pancreatectomy With Celiac Artery Resection)
https://connect.mayoclinic.org/discussion/appleby-procedure/

Appleby may also be called "En bloc celiac axis resection" for pancreatic cancer. You can read more about its use at Mayo Clinic in this article:
- Development of new surgical procedures and predictors of outcome for patients with advanced pancreatic cancer https://www.mayoclinic.org/medical-professionals/news/development-of-new-surgical-procedures-and-predictors-of-outcome-for-patients-with-advanced-pancreatic-cancer/mac-20511783

How are you doing?

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Husband had the Appleby procedure Oct17. We were in hospital for 27 days as his insides were very slow to wake. We have some issues with what’s left of pancreas leaking so we’ve had to come home with a drain along with TPN at night . Drs were able to remove all the cancer and we are grateful! Recovery has been a beast. Looking for any advice on food, mental recovery. He has constipation no matter what, doesn’t really want to eat because of fear on how it will make him feel. He is a Vet who already struggles with PTSD

REPLY
1 reply
Moderator
Colleen Young, Connect Director | @colleenyoung | Nov 18, 2023
In reply to @gramstrong23 "Husband had the Appleby procedure Oct17. We were in hospital for 27 days as his insides..." + (show)
@gramstrong23

Husband had the Appleby procedure Oct17. We were in hospital for 27 days as his insides were very slow to wake. We have some issues with what’s left of pancreas leaking so we’ve had to come home with a drain along with TPN at night . Drs were able to remove all the cancer and we are grateful! Recovery has been a beast. Looking for any advice on food, mental recovery. He has constipation no matter what, doesn’t really want to eat because of fear on how it will make him feel. He is a Vet who already struggles with PTSD

Jump to this post

@gramstrong23, recovery is a beast. You're so right that recovery includes mental recovery. There are a few discussions in the Cancer: Managing Symptoms support group that talk about the mental and emotional aspects of cancer (https://connect.mayoclinic.org/group/cancer-managing-symptoms/)

I think you might appreciate these discussions:
- Facing Cancer Recurrence, PTSD & Acknowledging Mental Health
https://connect.mayoclinic.org/discussion/facing-cancer-recurrence-ptsd-acknowledging-mental-health/

More https://connect.mayoclinic.org/group/cancer-managing-symptoms/?search=PTSD&index=discussions

Does your husband have a therapist? Have either of you met with an oncology social worker?

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