A counterclockwise, step-by-step approach for robotic pancreatoduodenectomy enhances surgical workflow and appears to reduce operative complications.

• Mean console time was 279 minutes across 150 procedures, with no conversions to open surgery.
• Major complications occurred in 13.3% of patients, with a postoperative pancreatic fistula rate of 6.7% and delayed gastric emptying in 23.3%.
• The 30- and 90-day mortality rates were low at 1.3% and 3.3%, respectively.

Adopting this standardized technique could lead to better surgical efficiency and outcomes in complex pancreatic operations.