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REVIEW article

Front. Surg.
Sec. Visceral Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1481596
This article is part of the Research Topic Advances in Robotic Surgery: Innovations, Applications, and Future Directions View all 4 articles

Comparison of the perioperative outcomes of robotic versus laparoscopic pancreaticoduodenectomy: a meta-analysis

Provisionally accepted
Junjie Wang Junjie Wang 1Yuanjun Liu Yuanjun Liu 1Gang Tang Gang Tang 2Rui Chen Rui Chen 2Jie Zhang Jie Zhang 2Rongxing Zhou Rongxing Zhou 2Yakun Wu Yakun Wu 1*
  • 1 Suining Central Hospital, Suining, China
  • 2 Division of Biliary Tract Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, People’s Republic of china, chengdu, China

The final, formatted version of the article will be published soon.

    Objective: The study aims to assess the available literature and compare the perioperative outcomes of robotic pancreaticoduodenectomy (RPD) and laparoscopic pancreaticoduodenectomy (LPD). Methods: We searched PubMed, Cochrane Library, Embase, and Web of Science databases for studies comparing RPD and LPD. Risk ratios (RRs) and mean differences (MDs) with 95% confidence intervals (CIs) were calculated. Results: 29 studies were included, with a total of 15812 patients (RPD group: 6509 patients; LPD group: 9303 patients). Compared with LPD, RPD has lower overall morbidity (RR, 0.90), conversion (RR, 0.46) and blood transfusion rates (RR, 0.53), shorter length of stay (MD, -0.50 days), and higher number of harvested lymph nodes (MD, 1.93). There were no significant differences observed in 90-day mortality, major complications, operative time, blood loss, reoperation, bile leak, postoperative pancreatic fistula, delayed gastric emptying, and R0 resection between the groups. Conclusions: Compared with LPD, RPD reduces morbidity, conversion and blood transfusion rates, shortens the length of stay, and collects more lymph nodes.

    Keywords: Robotic pancreaticoduodenectomy, Laparoscopic pancreaticoduodenectomy, Mortality, Morbidity, Meta-analysis

    Received: 16 Aug 2024; Accepted: 06 Jan 2025.

    Copyright: © 2025 Wang, Liu, Tang, Chen, Zhang, Zhou and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Yakun Wu, Suining Central Hospital, Suining, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.