Comparison of Robotic and Laparoscopic Pancreatoduodenectomy: Perioperative Advantage of Robotic Surgery and Similar Oncological Outcomes

Robotic pancreatoduodenectomy (RPD) was compared to laparoscopic pancreatoduodenectomy (LPD) in terms of operative and oncologic outcomes in a multicenter study involving 2,255 patients. After propensity score matching, 1,006 patients were included in each group. RPD had shorter operative time, lower blood transfusion and conversion rates, and higher vascular reconstruction rate compared to LPD. No significant differences were found in blood loss, postoperative length of stay, complications, and mortality. Both procedures had similar safety and feasibility, but RPD showed perioperative advantages, especially in vascular reconstruction. For pancreatic ductal adenocarcinoma patients, RPD and LPD had similar oncological and survival outcomes.