Other surgical approaches include a partial resection such as a distal pancreatectomy (for extensive disease at the tail of the pancreas), a Whipple procedure (for extensive disease at the head of the pancreas), a pylorus-sparing pancreaticoduodenectomy (similar to a Whipple procedure), a duodenum-preserving pancreatic head resection (Beger procedure), or a total pancreatectomy with autotransplantation of islets.