The crush and clip technique for pancreatic transection in robotic distal pancreatectomy shows promise for reducing complications.

• Postoperative pancreatic fistula rates were 13% for crush and clip vs. 26% for stapler (p=0.280).
• Significant advantage in thick pancreas cases: 6% vs. 47% for crush and clip vs. stapler (p=0.013).

This technique eliminates major complications, with none seen in crush and clip cases compared to 14% in stapler cases.

• The cc technique offers a practical alternative that could enhance patient safety without increasing costs.