胰腺体尾部腺癌约占全部胰腺癌的20%,早期症状和体征不明显且无特异性,以腹、背部疼痛和体重下降为主,就诊时肿瘤已经扩散和(或)无法切除,患者的2年生存率低。Appleby手术最初是为胃癌侵犯到胰腺、腹腔动脉干而设计的。近年来,随着外科技术的进步和综合治疗的完善,改良的Appleby手术应用于侵犯腹腔干、肝总动脉和 The adenocarcinoma of the pancreatic body and tail accounts for approximately 20% of all pancreatic cancers. The early signs and symptoms are insignificant and non-specific. The abdomen, back pain, and weight loss are the main symptoms. The tumor has spread and/or cannot be removed at the time of consultation. The 2-year survival rate is low. Appleby was originally designed to invade the pancreas and celiac artery. In recent years, with the advancement of surgical techniques and the improvement of comprehensive treatment, improved Appleby surgery has been used to invade the celiac trunk and common hepatic artery.