Pancreatic surgery has long been an important part of general surgical practice.

Novel minimally invasive approaches are described for two cases are described: a pancreatic necrosis and pseudocyst. The first patient is a male who had a necrotic pancreatic pseudocyst. After attempted percutaneous drainage, a video-assisted retroperitoneal debridement (VARD) was performed. The second patient is a female who first underwent open surgical debridement of pancreatic necrosis (Stuft procedure). She subsequently developed a pseudocyst which was drained via endoscopic cystgastrostomy.

Both patients resolved their pancreatic diseases in the follow up period. The use of minimally invasive approaches as compared to open surgical procedures is also discussed.

There are certainly instances when minimally invasive approaches may benefit the patient suffering from a pancreatic disease process.