Pancreatic cancer surgery upgrade: remove the whole pancreas, then transplant its own cells to avoid diabetes

This study tests a two-step surgery for people with pancreatic or related cancers. Instead of the standard partial removal, doctors remove the entire pancreas and then transplant the patient's own insulin-making cells into the liver. The goal is to prevent a common complication (pancreatic leak) that often stops chemotherapy, while also avoiding severe diabetes. The trial will enroll 36 adults and track how many complete their planned chemotherapy.