A left-sided uncinate-first method enhances surgical precision in complex robotic pancreatoduodenectomies.

• It provides better access to the superior mesenteric artery, especially beneficial for morbidly obese patients or those with bulky tumors.
• The technique allows for earlier vascular control and reduces traction on the superior mesenteric vein.

This approach could become essential in cases where traditional methods fall short, ultimately improving patient outcomes.

• All cases achieved R0 resection with improved posterior dissection visualization.