Pancreatic surgery continues to undergo advances in technique brought
about mainly by our knowledge and experience with minimally invasive s
urgery. Pancreatic operations are being done more frequently and safel
y. Major pancreatic resections are being performed with preservation o
f surrounding structures. These resections are also increasingly done
through smaller and smaller incisions, to the point where some surgeon
s are performing laparoscopic pancreatic resections. Significant advan
ces in the technique of pancreatic surgery published within the past y
ear are reviewed herein.