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Abstract

Diseases of the biliary system and pancreas like all other organs range from simple to complex disorders and can be benign or malignant. They could vary from a simple cyst to periampullary carcinoma and pancreatic head malignancies. Traditionally the management of these disorders has been by conventional open surgery. The post operative morbidity has been reported to be high and there is a significant mortality too. Certain disorders like infected pancreatic necrosis requiring necrosectomy usually have a poor prognosis. The large incisions and blood loss and post operative pain add to the morbidity of the disease. The introduction of laparoscopic surgery is a boon to the surgical field. The procedures which are performed by open surgery can be done as good if not better by laparoscopy. The morbidity and mortality are greatly reduced. Procedures such as Puestows and Whipples done by open surgery have a significant post operative morbidity. All these major pancreatic surgeries can nowadays be done by laparoscopic and robotic surgery. The use of minimal access technique in the management of pancreatic and biliary diseases greatly reduces the post operative morbidity and mortality. However significant expertise and experience is required for the performance of these procedures.

Biography

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