Robotic distal pancreatectomy shows regional disparities in outcomes for pancreatic cancer treatment.

• Western centers have shorter operative times (240 vs. 265 min) and lower conversion rates to open surgery (5% vs. 10%).
• Eastern centers boast higher R0 resection rates (85% vs. 75%) and greater lymph node yield (12 vs. 10 nodes).

Despite these differences, survival rates are similar across regions, emphasizing the importance of tumor biology.

• Variations highlight the need for global standardization in surgical practices.