Adjusted trend analysis in the adoption and outcomes of minimally invasive pancreaticoduodenectomy approaches: over a decade of contemporary U.S. data.

Surgical outcomes after robot-assisted versus laparoscopic pancreatoduodenectomy: multicentre propensity-matched comparison from the Italian Group of Minimally Invasive Pancreatic Surgery

Abstract Background Minimally invasive approaches to pancreatoduodenectomy (PD) are increasingly being adopted worldwide. However, direct comparisons between laparoscopic PD (LPD) and robot-assisted PD (RPD) remain limited and inconclusive. This study aimed to compare perioperative outcomes between LPD and RPD within a...

Short-term outcomes of robotic pancreaticoduodenectomy during implementation stage: A comparison with open surgery

The implementation stage of robot-assisted pancreaticoduodenal resection has already demonstrated a positive trend, including a reduction in the number of wound complications, the incidence of pancreatic fistulas, and the length of hospital stay, as well as an increase in the rate of achieving the target outcome.

Early postoperative outcomes after hybrid minimally invasive pancreaticoduodenectomy with a mini-laparotomy reconstruction: a single-centre randomised feasibility trial

Learning curve of robotic pancreaticoduodenectomy: a CUSUM and risk-adjusted CUSUM analysis of 120 consecutive cases.

RPD demonstrates a measurable learning curve characterized by progressive improvement in operative efficiency and postoperative safety, suggesting that postoperative safety may provide a more clinically meaningful framework than operative time alone for describing the evolution of the learning curve.

National trends in use of open and laparoscopic hepatectomy related to short-term composite outcomes: an IDEAL stage 4, age- and sex-adjusted cohort study.

BACKGROUND National studies on implementation of minimal-invasive liver surgery (MILS) are scarce. The aim of this study was to report how nationwide trends in use of MILS related to short-term outcomes. METHODS A nationwide registry-study of all liver surgery in a universal health care system. Time-trends, age- and...

Minimal Change in Minimally Invasive Surgery: National Trends in Laparoscopic Duodenal Atresia Repair, 2016-2024.

Laroscopic repair was associated with shorter LOS and lower morbidity, yet adoption remains low, and longer operative time and preferential use in larger neonates suggest potential technical barriers to adoption.