Excerpt
Diagnosis and surgical resection of the pancreas have remained a challenge over the decades. But with advances, the scenario has improved a lot. Still, many issues are unresolved. With technical success and improved patient care, the surgical mortality has decreased significantly, in some series to less than 1% [
1]. However, this has not translated to patient success, since the overall cancer survival remains low. This remains a challenge [
2]. Further advances include laparoscopic and robotic techniques [
3,
4]. One such technique of pancreatico-gastrostomy is described in this issue. These have not been adopted widely and are yet to be the standard of care. Issues that need to be addressed include safety, both surgical and oncologic outcomes, cost and training, and if possible, the learning curve. …