Combining two high-volume centers for pancreatoduodenectomies significantly improves patient outcomes.

• Post-merger in-hospital/30-day mortality dropped from 2.0% to 0.4%.
• Major morbidity rates decreased from 41% to 35%.

This suggests that surgical volume and enhanced patient management can lead to better results.

• Robot-assisted surgeries rose from 16% to 36%, enhancing procedural precision.