The Impact Factor, regularly shortened IF, is a measure mirroring the normal number of references to ongoing articles distributed in science and sociology diaries. In the event that is determined by isolating the quantity of references in the Journal Citation Reports year by the complete number of articles distributed in the two earlier years. High effect factor for a specific diary suggests great number of references and nature of work. In view of the open access diaries, sway factors are improving. Open access diary articles are basically peer-checked on and accessible for access through the registry of Open Access diaries. Each open access diary conveys the most recent updates in the regarded research territory in different arrangements with the goal that endorsers can get to the equivalent through different choices. With the developing number of logical lovers and perusers by an enormous edge, the adequacy of open access distributing has seen a confident effect. Information from various establishments performing insignificantly obtrusive pancreatic coduodenectomy (MIPD) and taking part in the National Surgical Quality Improvement Program (ACS-NSQIP) Pancreatectomy Demonstration Project was broke down by Nakeeb et al. A sum of 1,781 patients experienced pancreaticoduodenectomy at 43 foundations. MIDP was started on 131 (7.4%) of these patients at 21 establishments. Patients who experienced open pancreaticoduodenectomy and MIDP were comparable in age, sexual orientation, race, cardiopulmonary illness and different comorbidities. Half of the endeavored MIDP were changed over to open strategies. Examination demonstrated MIDP was related with factually noteworthy increment in usable time (7.5 versus 6.1 h), septic stun (11.5 versus 3.5%), reoperation (11.0 versus 3.5%), significant horribleness (55.0 versus 44.4%) and mortality (4.7 versus 1.8%). This information proposes that, right now, MIDP is related with higher intricacy, bleakness and mortality. Before this technique gets generalizable, further preparing ideal models might be required. Reference: Nakeeb A, Parmar A, Riall TS, Kilbane EM, Hall BL, Pitt HA. Insignificantly Invasic Pancreatoduodenectomy: Is the Learning Curve Surmountable? Paper introduced at the 48th Annual Meeting of the Pancreas Club; May 2014; Chicago, Illinois, USA.