Appleby Procedure (Distal Pancreatectomy With Celiac Artery Resection)

I’ve never heard of it, is it a new procedure?

Not sure about new or old. I have a small tumor in celiac vein and they take it out and bypass it. Anything on the Internet is medical jargon and was hoping to find someone familiar with the procedure.

If you haven't already had your Appleby procedure, the best advice I can give if find a doc who has performed it many times successfully. Same goes for Whipple. My wife had Appleby after chemo and radiation. Top hospital and top pancan surgeon in the country. Surgery was a complete success with all pathology negative. Recovery however has been extremely difficult. Removing 60% of the pancreas, gaul bladder, spleen, adrenal gland and 23 lymph nodes at once is extraordinarily hard on the body. My wife wasnt overweight and has lost 20% of her body weight due to pain, loss of appetite and chronic diarrhea. Good luck with your surgery and recovery.

Hello,

My husband just had the Appleby after chemo and radiation here at MDAnderson in Houston. How is your wife doing? We too have lost 15 lbs and he is very weak. All pathology reports are negative for Cancer at this point.

Any input is greatly appreciated.

Hello all,
My husband was diagnosed with Stage 1 Pancreatic Cancer in May '22. He has since completed chemo, radiation and the Appleby procedure on March 2 here at MDAnderson in Houston. We are really trying to get in enough protein and hydration but he sleeps a lot. Any suggestions from someone that's been through this? He will go on surveillance as pathology was favorable.

Thank you for sharing your story

My husband has been going through treatments and now drs are recommending the Appleby procedure. How is your husband after the surgery??

My husband was Diagnosed with Stage 4 Pancreatic cancer in Feb 23. He has been going through treatments and Dr. is now recommending the Appleby procedure. I have read about the procedure but really would love to talk with anyone who has had the procedure performed. We are currently looking into getting a second opinion for another center.

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?

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.