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. 2020 Dec 27;12(12):491–506. doi: 10.4240/wjgs.v12.i12.491

Table 1.

Indications for partial pancreatic tail preserving subtotal pancreatectomy

Criteria PPTP-SP TP
Inclusive criteria (all must be fulfilled)
Tumor involving both Ph and left pancreas Necessary Necessary
No LGA involvement Necessary Unnecessary
Tumor’s lateral margin more than 6 cm away from Sh Necessary Unnecessary
No high metabolic regions in Pt or Sh on PET-CT Necessary Unnecessary
Pt margin is negative Necessary Unnecessary
Exclusive criteria (if any)
Multifocal cancer
Concomitant with IPMN Unrecommended Recommended
Multifocal PDAC Unrecommended Recommended
Enlarged LNs in Pt and/or Sh Unrecommended Recommended

Ph: Pancreatic head; LGA: Left gastric artery; Pt: Pancreatic tail; Sh: Splenic hilum; IPMN: Intraductal papillary mucinous neoplasms; PDAC: Pancreatic ductal adenocarcinoma.