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 Table 2. Laparoscopic-assisted pancreaticoduodenectomy

 Period of   Surgical   Included   N of LAS pancreatic
 enrollment  operation  approaches  procedures  LAS vs. open  LAS vs. TLS/robotic

 [72]
 Staudacher et al.  ,   2003-2004  PD  LAS  4  -    -
 2005
 [85]
 Dulucq et al.  , 2006  1999-2005  PD  LAS, TLS  9  -  Similar IBL, OT, LOS
 [91]
 Pugliese et al.  , 2008 2002-2006  PD  LAS*, TLS  7  -  -
 [70]
 Cho et al.  , 2009  2007-2008  PD  LAS  15  -      -
 [92]
 Machado et al.  ,   -  PD  LAS*, TLS  2  -         -
 2013
 [87]
 Kim et al.  , 2013   2007-2011  PD  LAS*, TLS  10  -  -
 [73]
 Lee et al.  , 2013   2009-2012  PD  LAS  42  -     -
 [89]
 Langan et al.  , 2014  2010-2013  PD  LAS, open  27  Reduced LOS   -
          Better QoL
          Similar OT, morbidity rate
 [67]
 Wang et al.  , 2014  2009-2013  PD  LAS, open  13  Decreased blood loss, LOS   -
          Similar complication and mortality rate
 [90]
 Wellner et al.  , 2014 1996-2013  PD  LAS, open  40  Decreased need for blood transfusions   -
          Similar complication and mortality rate
 [86]
 Speicher et al.  , 2014  2010-2013  PD  LAS, TLS, open  31  Increased IBL, POPF grade C rate   Increased IBL, POPF grade C rate
          Similar R0 rate                           Similar R0 rate
 [93]
 Liang et al.  , 2015   2011-2013  PD  LAS*, TLS, open  13  -  -
 [80]
 Piedimonte et al.  ,   2010-2014  PD  LAS, RA  14  -  Similar OT, IBL, morbidity rate
 2015
 [54]
 Wang et al.  , 2015   2010-2013  PD  LAS, TLS  6  -  Similar OT, IBL, morbidity
 [77]
 Mendoza et al.  ,   2014  PD  LAS, open  18  Reduced LOS   -
 2015     Increased OT
          Similar IBL, LN yield, R0 rate, morbidity rate,
          POPF rate
 [71]
 Liu et al.  , 2015   2011-2012  PD  LAS  21  -     -
 [88]
 Lu et al.  , 2016   2012-2015  PD  LAS*,TLS  9  -  -
 [81]
 Patel et al.  , 2017   2006-2016  PD  LAS, TLS  17  -  Reduced LOS, length of ICU stay, severe
                                                    morbidity, reoperation rate
 [94]
 Kantor et al.  , 2018   2014-2015  PD  LAS*, TLS, robotic,   304  -  -
 open
 [95]
 Nassour et al.  , 2018  2014-2015  PD  LAS*, TLS, robotic,   54  -  -
 open
 [79]
 Deichmann et al.  ,   2000-2015  PD  LAS, open  60  Decreased OT, LOS, need for blood   -
 2018     transfusions, CR-POPF rate
   32   33   34   35   36   37   38   39   40   41   42