The primary objective of this clinical trial is to evaluate whether primary total pancreatectomy with simultaneous islet autotransplantation compared with pancreatic head resection (alone) can reduce perioperative morbidity and time to initiation of adjuvant therapy in patients with a high-risk constellation for pancreatic fistulas.
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Duration between surgery and time "fit for adjuvant treatment" (postoperative day X)
Timeframe: From day of discharge until confirmed fitness for adjuvant treatment or 24 months, whichever came first