There are two main surgical approaches: open pancreatectomy and laparoscopic pancreatectomy which is a minimally invasive surgery. The location of affected part of the pancreas is used to appropriately select surgical technique. To surgically remove pancreatic body and tail, without contraindication, laparoscopic distal pancreatectomy might be preferred. However, if the mass is located at the pancreatic head, open surgery as a conventional approach remains the first line. Laparoscopic pancreaticoduodenectomy might be considered if conducted by highly experienced and well-trained surgeons. In addition, laparoscopic pancreaticoduodenectomy is a relatively new procedure that takes longer operative time due to high degree of difficulty and complexity. Besides the expertise of surgeon, this procedure requires cutting-edge technology and advanced facilities available in certified hospitals.
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