title: Recent advances in pancreatic surgery.
abstract: OBJECTIVE
  To appraise the recent literature dealing with important advances in the field of pancreatic surgery.
  
  
  RESULTS
  Surgical care for pancreatic cancer patients remains fractured, with imperfect patient selection and ongoing bias in referral patterns based on socioeconomic factors. Analysis of readmissions after pancreatectomy reveals it to be a poor quality of care metric. More extensive pancreatic resections lead to higher morbidity. Intraductal papillary mucinous neoplasm and pancreatic neuroendocrine tumor biology affect patient outcomes and suggest the need for better diagnostic approaches for these entities. Perioperative drainage still has a role during Whipple pancreaticoduodenectomy on the basis of the results of a randomized controlled trial. Laparoscopic and robotic approaches married with new emerging technologies have the potential to transform the practice of pancreatic surgery.
  
  
  CONCLUSIONS
  Pancreatic surgery is a rapidly evolving field with the promise to significantly improve outcomes for patients with a variety of pancreatic diseases in the future.
authors.affiliation: aDepartments of Surgery bMolecular and Integrative Physiology cTranslational Oncology Program, University of Michigan Medical Center, Ann Arbor, Michigan, USA.
authors.forename: Filip
authors.initials: F
authors.lastname: Bednar
authors.forename: Diane M
authors.initials: DM
authors.lastname: Simeone
mesh_terms: D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010180:Pancreatectomy / Q000379:methods*; D010182:Pancreatic Diseases / Q000601:surgery*; D012371:Robotics