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 [75]
 Kuesters et al.  , 2018 2010-2016  PD  LAS, open  62  Increased OT, R0 rate   -
          Comparable lymph node yield, morbidity and
          mortality rate
          Shorter LOS
 [76]
 Tan et al.  , 2019   2014-2016  PD  LAS, open  20  Increased OT   -
          Similar morbidity rate, LN yield, R0 rate
          Reduced time to deambulation
 [83]
 Goh et al.  , 2019   2014-2017  PD, TP  LAS*, TLS, robotic  18  -  -
 [84]
 van Hilst et al.  , 2019  2014-2018  PD  LAS, TLS  56  -  Increased conversion rate
                                                    Similar IBL, OT, LOS, POPF rate, severe
                                                    morbidity rate
 [74]
 Pham et al.  , 2020   2014-2019  PD  LAS  18  -    -
 [68]
 Tian et al.  , 2020  2013-2018  PD  LAS, open  36  Decreased blood loss   -
          Increased OT
          Similar CR-POPF rate, need for blood
          transfusions, LOS
 [78]
 Nieuwenhuijs et al.  ,  2016-2017  PD  LAS, open, TLS  10  Similar CR-POPF  -
 2020
 [96]
 Klompmaker et al.  ,  2012-2017  PD  LAS*, RA, TLS, open 130  -  -
 2020
 [82]
 Wang et al.  , 2020   2016-2018  PD  LAS, TLS  48  -  Increased OT, IBL
                                                    Similar LOS, morbidity rate, POPF rate
 [69]
 Al-Sadairi et al.  ,   2019  PD  LAS  21  -        -
 2021


 The literature search was conducted on the PubMed database; the search terms used were “laparoscopy” OR “laparoscopic-assisted” OR “hybrid” OR “hand-assisted” AND “pancreatic resection” OR
 “pancreaticoduodenectomy” OR “Whipple” or “pancreatectomy” individually or in combination. A manual search of reference lists of included articles was conducted. Case reports were excluded from the table.
 [97]
 Articles with no full text available were excluded  . Articles presenting new pancreatic anastomotic techniques were excluded. N: Number; LAS: laparoscopic-assisted surgery; TLS: total laparoscopic surgery; RA:
 robotic-assisted; PD: pancreaticoduodenectomy; TP: total pancreatectomy; LOS: length of stay; IBL: intraoperative blood loss; OT: operative time; QoL: quality of life; CR-POPF: clinically relevant postoperative

 pancreatic fistula. *LAS was not treated as a separate group from laparoscopy.
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