Increasing experience results in better outcomes for robotic pancreatoduodenectomies.

• Operating time decreased from 420 to 369 minutes across learning phases.
• Conversion rate dropped from 21.7% to 7.5%.
• Rate of delayed gastric emptying improved from 32.3% to 15.4%.

Surgeons should consider patient selection and institutional experience when planning robotic procedures to enhance recovery and minimize complications.

• Reoperation rates fell from 9.9% to 4.9%.
• In-hospital/30-day mortality remained stable at 3.9%.