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La pancreatoduodenectomía por laparoscopia viene realizándose en forma progresiva por grupos americanos, franceses e hindúes con gran volumen, experiencia en cirugía pancreática y laparoscópica avanzada y disponibilidad tecnológica de punta, permitiendo resultados comparables a los centros de excelencia en cirugía convencional, lo que plantea el interrogante si estos desenlaces favorables pueden reproducirse en condiciones diferentes.