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J.Jpn. Surg. Soc.. 123(5): 403-408, 2022

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Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan

Yuichi Nagakawa, Shingo Kozono, Chie Takishita, Hiroaki Osakabe, Yusuke Mitsuka, Nobuhiko Nakagawa, Masayuki Honda, Yutaka Hayashi, Tetsuo Ishizaki

Laparoscopic pancreaticoduodenectomy (LPD) is being performed by experts with satisfactory surgical results, but it requires advanced laparoscopic surgical skills, especially pancreatic reconstruction. Surgical experience and hospital volume affect surgical outcomes; therefore, safety must be ensured during the learning curve. In Japan, LPD has been safely introduced in each center based on strict rules established by academic societies. Pancreatic reconstruction requires extremely advanced surgical techniques. Recently, it has been reported that the surgical outcomes of robot-assisted pancreaticoduodenectomy are superior to those of LPD. Therefore, most surgeons believe that robotic surgery will become the mainstream of minimally invasive pancreaticoduodenectomy. LPD may thus become a procedure performed only by some experts.

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