TTP4.06 Open, Laparoscopic, and Robotic Pancreaticoduodenectomy: A Systematic Review

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Systematic review analyzes mortality and safety in pancreaticoduodenectomy using open, laparoscopic, and robotic techniques.

Open pancreaticoduodenectomy (OPD) showed higher 90-day mortality compared to laparoscopic (LPD) and robotic (RPD) methods.
The review included seven randomized controlled trials with a total of 1247 patients assessing various surgical techniques.
Laparoscopic and robotic approaches had longer operating times compared to open surgery, without significant differences in complications.
Post pancreatectomy hemorrhage rates were lower after OPD and RPD than after LPD, highlighting safety variations between techniques.

Neeli et al. (2025) studied this question.

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