• Malignant lesions involving the head of pancreas, ampulla of Vater, distal end of the common bile duct, or duodenum.
  
  
  
  • Absence of metastasis.
    
  • Absence of arterial involvement.
  
  
• Refractory severe pain from chronic pancreatitis.
  
  
  
  • Refractory to medical therapy.
    
  • Repeat hospital admissions.
    
  • Majority of disease limited to the head of the pancreas.

Absolute