The role of laparoscopic pancreaticoduodenectomy—how take care of patient security?

A recent report from the Dutch Pancreatic Cancer Group has shown that the risk of severe complications, even postoperative death, can easily be underestimated during the introduction of laparoscopic pancreaticoduodenectomy (LPD) (1). This is hardly surprising for pancreatic surgeons. Nevertheless, data with this level of scientific evidence has never been published before and the paper is therefore incredibly important and highly relevant.