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
■ Malignant pancreatic lesions
■ Involvement of the pancreas by contiguous malignant neoplasms
Relative Contraindications ■
Advanced age (>70years) High-risk patient
Non-insulin-dependent diabetes (NIDD)
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