Optimal surgical techniques and accumulation of cases lead to improved outcomes in robotic pancreaticoduodenectomy

Researchers from a Japanese single center experience studied 76 cases of robotic pancreaticoduodenectomy (RPD) and found that the mean operation time decreased over time despite the involvement of new surgeons. They also observed a decrease in major complications from the early competency phase to the mastery phase. Additionally, optimization of the procedure, specifically the hanging maneuver of the retropancreatic tissue, proved effective in reducing operation time and educating new RPD surgeons. These findings highlight the importance of surgical experience and technique refinement in enhancing RPD outcomes.