Textbook Outcomes of Totally Robotic Versus Totally Laparoscopic Pancreaticoduodenectomy for Periampullary Neoplasm: A Propensity Score-Matched Cohort Study
Cohort study reveals similar textbook outcomes for robotic pancreaticoduodenectomy and laparoscopic methods in patients with periampullary neoplasms.
Key Points
Textbook outcomes were similar in both robotic pancreaticoduodenectomy and laparoscopic approaches, highlighting their feasibility in experienced hands.
In a cohort of 322 patients, 74.5% achieved textbook outcomes, with rates of 64.6% for robotic and 76.9% for laparoscopic methods after matching.
The study conducted a retrospective analysis from 2010 to 2023, employing propensity score matching to ensure comparable patient characteristics.
While both techniques are viable, robotic pancreaticoduodenectomy exhibited a higher incidence of hemorrhage, pointing to the need for further investigation.