Partial pancreatic tail preserving subtotal pancreatectomy for pancreatic cancer: Improving glycemic control and quality of life without compromising oncological outcomes

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.