Robotic-assisted resection reduces the need for open surgery in solid organ malignancies, impacting surgical decisions.

• Conversion rates to open surgery were significantly lower with robotic techniques (6.1%) compared to straight stick methods (13.6%, p<0.001).
• Robotic approaches provided an additional lymph node yield on average, enhancing oncologic outcomes.

Consider integrating robotic platforms to minimize conversion risks, while remaining aware of overall short-term outcome equivalence.

• Similar length of stay, 90-day mortality, and negative margin rates across both approaches highlight the need for careful patient selection.