Declare the past, diagnose the present, foretell the future.

Pancreatic surgery is still associated with a relatively high morbidity and mortality compared with other specialties. Laparoscopic surgery is typically performed using 3 or 4 half-inch or one-inch incisions, sparing patients a large incision. Laparoscopic surgery is ideal for tumors of the pancreas tail. Larger tumors of any part of the pancreas for which an open operation is required can be started laparoscopically to look for cancer spread before making the large incision. The hand-access devices are a major advancement in laparoscopic surgery and allows the surgeon to place the hand into the abdomen during the surgical procedure. Patient who undergo laparoscopic distal pancreatectomy have less pain, rapid recovery and early discharge compared to open distal pancreatectomy.

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