A pilot study suggests that robotic-assisted and laparoscopic-assisted pancreaticoduodenectomy with hybrid reconstruction is technically feasible and could reduce estimated blood loss and pain compared to open surgery.

• Median estimated blood loss was lowest in the robotic group at 200 ml, compared to 375 ml for laparoscopic and 500 ml for open.
• Pain scores were significantly lower in minimally invasive groups, particularly for robotic approaches.

These findings warrant further investigation into the safety and effectiveness of hybrid minimally invasive techniques for pancreatic surgery.