title: Pancreatic surgery.
abstract: OBJECTIVE
  To summarize published research on pancreatic surgery over the past year.
  
  
  RESULTS
  A number of studies aiming to reduce the costs associated with pancreatic surgery were reported. Retrospective analyses confirmed previous findings that neither the routine use of pancreatic duct stents decreases the rate of fistula formation nor does placement of a drain at the time of surgery change the morbidity in patients who develop one. Minimally invasive approaches, both laparoscopic and robot-assisted, are being performed more frequently to remove pancreatic cancers. A randomized trial confirmed that reinforcement of stapled closure during distal pancreatectomy reduces the rate of fistula formation. Controversy remains over whether small pancreatic neuroendocrine tumors need to be surgically resected or can be treated nonoperatively. Patients with chronic pancreatitis should be screened thoroughly before being offered surgical treatment; two studies reported preoperative factors that can be used to identify those most likely to experience pain relief.
  
  
  CONCLUSIONS
  Studies published on pancreatic surgery last year focused on a wide-range of topics. The morbidity and mortality of patients undergoing pancreatic surgery continues to improve, and we anticipate that incorporation of these new findings will lead to even better outcomes.
authors.affiliation: Division of General Surgery, Department of Surgery, David Geffen School of Medicine, University of California-Los Angeles, CA 90095, USA. tdonahue@mednet.ucla.edu
authors.forename: Timothy R
authors.initials: TR
authors.lastname: Donahue
authors.forename: Howard A
authors.initials: HA
authors.lastname: Reber
mesh_terms: D018278:Carcinoma, Neuroendocrine / Q000601:surgery; D003362:Cost-Benefit Analysis; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D010180:Pancreatectomy / Q000009:adverse effects / Q000191:economics / Q000379:methods* / Q000592:standards; D010182:Pancreatic Diseases / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery; D050500:Pancreatitis, Chronic / Q000601:surgery; D019984:Quality Indicators, Health Care; D012371:Robotics / Q000379:methods