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World J Gastroenterol. Oct 21, 2014; 20(39): 14255-14262
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14255
Laparoscopic resection of pancreatic adenocarcinoma: Dream or reality?
Blaire Anderson, Shahzeer Karmali
Blaire Anderson, Shahzeer Karmali, Department of Surgery, University of Alberta, Edmonton, Alberta T6G 2B7, Canada
Shahzeer Karmali, Center for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, Edmonton, Alberta T5H 3V9, Canada
Author contributions: Anderson B reviewed the literature and wrote the paper; Karmali S supervised the review.
Correspondence to: Shahzeer Karmali, BSc, MD, MPH, Assistant Professor, Surgical Director, Weight Wise Bariatric Surgery, Minimally Invasive Gastrointestinal and Bariatric Surgery, Center for the Advancement of Minimally Invasive Surgery, Royal Alexandra Hospital, Room 405 Community Services Center, 10240 Kingsway, Edmonton, Alberta T5H 3V9, Canada.
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Received: November 28, 2013
Revised: January 27, 2014
Accepted: May 29, 2014
Published online: October 21, 2014
Core Tip

Core tip: Laparoscopic pancreatic surgery is in its infancy despite initial procedures reported two decades ago. Both laparoscopic distal pancreatectomy and laparoscopic pancreaticoduodenectomy can be performed competently with improved perioperative outcomes, similar to those observed when minimally invasive surgical (MIS) is utilized for other purposes. However, when MIS approaches are implemented the indication is often benign or low-grade malignant pathologies. In this review we explore the evidence available regarding laparoscopic resection of pancreatic adenocarcinoma, a promising approach for future widespread application.