The article in this issue by McMillan et al1 represents a propensity score–matched analysis of robotic and open pancreatoduodenectomies (RPD and OPD, respectively), with results demonstrating noninferiority regarding major postoperative complications. This multi-institutional study represents a reasonable attempt to compare perioperative surgical outcomes for pancreatoduodenectomy (PD) by experienced surgeons who have surpassed the RPD learning curve, in carefully selected patients. The results demonstrate that clinically relevant fistula rates, overall complications, length of hospital stay (LOS), mortality, and readmission rates were similar, suggesting that RPD is not inferior to OPD for these metrics.
Laks S, Kooby DA, Kim HJ. Comparing Outcomes for Robotic and Open PancreatoduodenectomyA Technological Advance?. JAMA Surg. Published online December 28, 2016. doi:10.1001/jamasurg.2016.4756