Robotic surgery reduces pancreatic fistula risk in high-risk patients

In a retrospective study involving 204 patients, robotic pancreatoduodenectomy (rpd) significantly lowered the incidence of clinically relevant postoperative pancreatic fistula (cr-popf) in high-risk patients compared to open pancreatoduodenectomy (opd). The cr-popf rate was 6.0% in the rpd group versus 38.2% in the opd group (p < 0.001). Moreover, multivariate analyses confirmed opd as an independent risk factor for cr-popf, with an odds ratio of 7.87, highlighting the advantages of robotic surgery in these complex cases.