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Invited Commentary
April 2017

Comparing Outcomes for Robotic and Open Pancreatoduodenectomy: A Technological Advance?

Author Affiliations
  • 1Department of Surgery, University of North Carolina School of Medicine, Chapel Hill
  • 2Department of Surgery, Emory University School of Medicine, Atlanta, Georgia
JAMA Surg. 2017;152(4):335. doi:10.1001/jamasurg.2016.4756

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.

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