Using an externalized pancreatic stent during robotic pancreaticoduodenectomy significantly lowers the risk of postoperative pancreatic fistula.

• In a study of 67 patients, overall POPF rate was 17.9%, with a majority classified as intermediate risk.
• This novel technique showed very low rates of fistula-related complications, making it a feasible option for surgeons.

Surgeons should consider this approach for high-risk patients to improve postoperative outcomes.