A new robotic pancreatoduodenectomy program demonstrates safe implementation with improved outcomes.

• 79.5% of post-implementation surgeries were robotic with a conversion rate of 19.4%.
• Median length of stay decreased from 8 days to 5 days (p < .0001), while maintaining similar complication and mortality rates.

Surgeons can consider a liberal patient selection approach without sacrificing patient safety or recovery time.

• Fewer pancreatic fistulas were noted post-implementation (-12.3%, p = .02).