Surgical video case: pancreas is the most common site of origin for neuroendocrine tumors. Pancreatic neuroendocrine neoplasms are rare, accounting for less than 3 percent of all pancreatic tumors. Enucleation shows better postoperative outcomes and lower mortality rates compared to pancreaticoduodenectomy or distal pancreatectomy, despite the similar risks of postoperative pancreatic fistula. Distal pancreatectomy is preferred over enucleation for the pancreas body–tail, while laparoscopic enucleation is better for head pNETs. Enucleation for head pancreatic NET located very close to CBD is superior to pancreaticoduodenectomy.
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