Middle segment pancreatectomy avoided in

Middle or central or segmental pancreatectomy Middle pancreatectomy is a safe, effective procedure for treatment of benign and low grade malignant neoplasm of the mid pancreas Advantages of Middle or Segmental Pancreatectomy Preserves pancreatic parenchyma Reduces the risk of exocrine and endocrine insufficiency. Consists of a limited resection of the mid poion of the pancreas. Indications of Middle or segmental Pancreatectomy Benign or low grade malignant tumor Location in the neck or its contiguous poion A distal pancreas stump of at least 5cm in length. Ref: Blumga 5th edition Pgno :959-960