Robotic pancreatoduodenectomy (r-pd) may offer better outcomes compared to open surgery after the learning curve is overcome.

• Lower estimated blood loss: 200 ml for r-pd vs. 300 ml for open (p=0.0012).
• Shorter hospital stay: 12 days for r-pd vs. 14 days for open (p=0.038).

Despite longer operative times (582 vs. 362 minutes), r-pd shows a reduced risk of postoperative lymphatic fistula (4% vs. 15%; p=0.045).

Surgeons should consider r-pd for eligible patients, balancing the benefits of fewer complications with the technical demands.