Indications and Contraindications


Assessment of resectability for:

- Pancreatic cancer (adenocarcinoma)

- Distal bile duct cancer

- Duodenal cancer

- Ampullary carcinoma

- Islet cell neoplasms

Staging of locally advanced disease prior to chemoradiation

Diagnosis of suspected metastatic disease

Histologic confirmation of radiologically unresectable disease

Relative Contraindications ■

Patient unfit for general anesthesia Multiple previous upper abdominal operations Intra-abdominal sepsis

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