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Over the last decade, laparoscopic surgery for benign and malignant pancreatic tumours has progressively gained favour and is now being used in many centres. Some studies show that this method is as good as or better than open surgery, although randomised data is needed to determine the outcome. By pooling high-quality published material, we want to give a thorough review of the state of the art in laparoscopic pancreatic surgery in this Review. The benefits, restrictions, oncological effectiveness, learning curve, and most recent advancements are all highlighted. Although the focus is on the laparoscopic Whipple technique and laparoscopic distal pancreatectomy for both benign and malignant illness, robot-assisted surgery is also discussed. Surgical and oncological results, as well as quality of life and cost-effectiveness of laparoscopic pancreatic surgery, are examined. We've also added decision-aid algorithms based on research and our own experience, which might help you decide whether to have a laparoscopic or open operation. Solid malignancies of the kidney, colon, adrenal glands, and prostate are now regularly treated via laparoscopic (lap) organ resection. Because of the operational intricacy and potential for complications, surgeons have been cautious to embrace minimally invasive methods to the pancreas. The vast majority of available papers on lap pancreatectomy are single-center research with fewer than 20 patients described. Larger cases proving the safety and effectiveness of lap tumour enucleation and lap left pancreatectomy have just recently appeared. Understanding the impact of the lap approach to pancreatectomy on cancer prognosis is critical since neoplastic illness is the most prevalent reason for pancreatic resection. Adequacy of resection as determined by margin status and nodal evaluation must be examined in addition to concerns about port-site tumour recurrence and tumour spread owing to lap manipulation in the presence of pneumoperitoneum. The development and current state-of-the-art of lap pancreatic surgery for cancer are discussed in this study. Existing data on open and lap pancreatic resections is reviewed, with a focus on pancreatic ductal adenocarcinoma. Future advancements in the field of lap pancreatic surgery are expected.
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