ReviewThe international journal of medical robotics + computer assisted surgery : MRCAS2026
Robotic Versus Laparoscopic Pancreaticoduodenectomy: A Review of Contemporary Evidence on Surgical Outcomes and Learning Curve.
Review in The international journal of medical robotics + computer assisted surgery : MRCAS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
3 authors.
Funding
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Abstract
introductionRobotic pancreaticoduodenectomy (RPD) offers technical advantages over laparoscopic pancreaticoduodenectomy (LPD), including improved dexterity, visualisation, and ergonomics. However, its clinical superiority remains uncertain.
methodsA structured narrative review supported by a systematic PubMed/MEDLINE search of literature published between 2016 and 2025 was performed. Comparative studies evaluating RPD and LPD were included, comprising six meta-analyses and six cohort studies.
resultsRPD and LPD demonstrated comparable mortality, major complications, postoperative pancreatic fistula, delayed gastric emptying, and oncologic outcomes. RPD consistently showed lower conversion rates and reduced blood loss, transfusion requirements, and hospital stay. Operative time and postoperative morbidity showed heterogeneous findings. Outcomes were strongly influenced by learning curve completion and institutional volume.
conclusionsRPD provides selective technical and perioperative advantages, particularly in experienced high-volume centres. However, definitive clinical superiority over LPD remains unproven, and current conclusions remain limited by observational evidence, study overlap, and heterogeneity in learning curve stage and operative technique.
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