Indications and Contraindications

Indications

Small, centrally located lesions (<5 cm in diameter) not amenable to enucleation Traumatic transection of the neck of the pancreas

Benign, borderline, or low grade malignant lesions (selected neuroendocrine neoplasms, serous or mucinous cysticneoplasms, solid pseudopapillary neoplasms, branch type intraductal papillary mucinous neoplasms, solitary true cysts, parasitic cysts, etc.)

Maintenance of a distal pancreatic stump of at least 5 cm in length

Contraindications

■ Malignant pancreatic lesions

■ Involvement of the pancreas by contiguous malignant neoplasms

Insulin-dependent diabetes

Relative Contraindications ■

Advanced age (>70years) High-risk patient

Non-insulin-dependent diabetes (NIDD)

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