Delayed gastric emptying (DGE) is a major complication after pancreatic surgery, impacting recovery and hospital stays.

• The overall DGE grade B/C rate was 11.9%, with 12.7% after pancreatoduodenectomy and 4.2% after left pancreatectomy.
• No effective treatments for DGE were found, but 12 strategies showed promise in reducing rates, notably minimally invasive left pancreatectomy.

Minimally invasive techniques may offer the best prevention against DGE, underscoring the need for further research in this area.