{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T23:02:57Z","timestamp":1785366177561,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100011912","name":"Taipei Veterans General Hospital","doi-asserted-by":"publisher","award":["V114B\u2010019"],"award-info":[{"award-number":["V114B\u2010019"]}],"id":[{"id":"10.13039\/501100011912","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011912","name":"Taipei Veterans General Hospital","doi-asserted-by":"publisher","award":["V114C\u2010019"],"award-info":[{"award-number":["V114C\u2010019"]}],"id":[{"id":"10.13039\/501100011912","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011912","name":"Taipei Veterans General Hospital","doi-asserted-by":"publisher","award":["V114C\u2010198"],"award-info":[{"award-number":["V114C\u2010198"]}],"id":[{"id":"10.13039\/501100011912","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100020595","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["NSTC 112\u20102314\u2010B\u2010075\u2010016\u2010"],"award-info":[{"award-number":["NSTC 112\u20102314\u2010B\u2010075\u2010016\u2010"]}],"id":[{"id":"10.13039\/100020595","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003625","name":"Ministry of Health and Welfare","doi-asserted-by":"publisher","award":["MOHW111\u2010TDU\u2010B\u2010221\u2010014015"],"award-info":[{"award-number":["MOHW111\u2010TDU\u2010B\u2010221\u2010014015"]}],"id":[{"id":"10.13039\/501100003625","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Robotic pancreaticoduodenectomy (RPD) has theoretical advantages over laparoscopic pancreaticoduodenectomy (LPD), offering enhanced dexterity with EndoWrist technology and improved ergonomics. This study aimed to compare surgical outcomes between RPD and LPD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients undergoing minimally invasive pancreaticoduodenectomy, including 679 RPD and 94 LPD, were included for comparison before and after propensity score matching (PSM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After 1:1 PSM, 88 cases were analyzed in each group. The RPD group showed significantly shorter operation times (median: 7.5 vs. 11.0\u2009h, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Complications were lower in the RPD group (46.6% vs. 65.9%, <jats:italic>p<\/jats:italic>\u2009=\u20090.010 overall; 9.1% vs. 19.3%, <jats:italic>p<\/jats:italic>\u2009=\u20090.010 for major complications with Clavien\u2013Dindo\u2009\u2265\u2009III). Postoperative pancreatic fistula (POPF) was lower in the RPD group (3.4% vs. 12.5%, <jats:italic>p<\/jats:italic>\u2009=\u20090.026 for overall; 5.1% vs. 16.9%, <jats:italic>p<\/jats:italic>\u2009=\u20090.040 for soft parenchyma of pancreas; 4.1% vs. 16.7%, <jats:italic>p<\/jats:italic>\u2009=\u20090.042 for non\u2010dilated pancreatic ducts). In the LPD group, all vascular resections required open conversion, whereas 42.9% of vascular resections were performed robotically in the RPD group (<jats:italic>p<\/jats:italic>\u2009=\u20090.013). There was no significant difference between RPD and LPD regarding intraoperative blood loss, conversion, vascular resection, surgical mortality, or survival outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>RPD offers several advantages over LPD, including shorter operation time, lower morbidity, and reduced incidence of major complications and POPF, especially in patients with soft pancreas and non\u2010dilated pancreatic ducts.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.12161","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T03:29:37Z","timestamp":1749439777000},"page":"620-629","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Propensity Score\u2010Matched Comparison of Robotic and Laparoscopic Pancreaticoduodenectomy"],"prefix":"10.1002","volume":"32","author":[{"given":"Bor\u2010Shiuan","family":"Shyr","sequence":"first","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Therapeutic and Research Center of Pancreatic Cancer Taipei Veterans General Hospital  Taipei Taiwan, ROC"},{"name":"National Yang Ming Chiao Tung University  Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7038-6146","authenticated-orcid":false,"given":"Shin\u2010E.","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Therapeutic and Research Center of Pancreatic Cancer Taipei Veterans General Hospital  Taipei Taiwan, ROC"},{"name":"National Yang Ming Chiao Tung University  Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shih\u2010Chin","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Therapeutic and Research Center of Pancreatic Cancer Taipei Veterans General Hospital  Taipei Taiwan, ROC"},{"name":"National Yang Ming Chiao Tung University  Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010Ming","family":"Shyr","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Therapeutic and Research Center of Pancreatic Cancer Taipei Veterans General Hospital  Taipei Taiwan, ROC"},{"name":"National Yang Ming Chiao Tung University  Taipei Taiwan, ROC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1914-0113","authenticated-orcid":false,"given":"Bor\u2010Uei","family":"Shyr","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery and Therapeutic and Research Center of Pancreatic Cancer Taipei Veterans General Hospital  Taipei Taiwan, ROC"},{"name":"National Yang Ming Chiao Tung University  Taipei Taiwan, 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