Laparoscopic versus open pancreatoduodenectomy: a pilot randomized trial in a developing African country

LPD resulted in a significantly shorter hospital stay compared to OPD, confirming its benefit in postoperative recovery. Despite a longer operative time, LPD showed advantages in blood loss, transfusion needs, and functional recovery, while maintaining comparable oncologic safety. These findings support the feasibility and potential value of LPD in selected patients, even within a resource-constrained setting.