{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:17:46Z","timestamp":1760080666683,"version":"build-2065373602"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"National Hospital"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Langenbecks Arch Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Robotic distal pancreatectomy is increasingly utilized for the treatment of both benign and malignant lesions in the body and tail of pancreas. The aim of the current study was to report outcomes of the implementation of robotic distal pancreatectomy in a high-volume center with special emphasis on the learning curve.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>This was a retrospective single-center study of consecutive patients undergoing robotic distal pancreatectomy performed by a dedicated team of three surgeons at a high-volume HPB center from September 2019 to November 2023. Patients with borderline or locally advanced tumors, or ingrowth in neighboring organs were not included for robotic approach.<\/jats:p>\n            <jats:p>Intra- and postoperative outcomes were registered and compared across three pre-defined time periods of the first 40, middle 40 and remaining 40 procedures. Cumulative sum analysis was performed for the outcomes duration of surgery and textbook outcome.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>A total of 120 consecutive patients were included. The mean duration of surgery decreased significantly from 264\u00a0min to 239\u00a0min and lastly 222\u00a0min per procedure (<jats:italic>P<\/jats:italic>\u2009=\u20090.003) and the learning curve for this outcome was reached after 70 cases. The rate of splenic preservation was highest in the last period (12.5% vs. 12.5% vs. 30.0%, <jats:italic>P<\/jats:italic>\u2009=\u20090.066). The rate of textbook outcome across the three time periods increased (62.5% vs. 70.0% vs. 82.5%) and most benchmark values were obtained in the third period. The learning curve effect reached benchmark outcome values after 60 procedures and achieved better than expected outcomes after 90 procedures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Robotic distal pancreatectomy was safely implemented in a high volume HPB-center going from open to robotic approach. The learning curve was surpassed after 19 procedures reaching benchmark outcome values after 60 procedures.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00423-025-03855-w","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T06:38:09Z","timestamp":1760078289000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From open to robotic distal pancreatectomy: the learning curve and mastering benchmark outcomes in a Scandinavian high volume center"],"prefix":"10.1007","volume":"410","author":[{"given":"Paul S.","family":"Krohn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristian S.","family":"Kiim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Tschuor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Fukumori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan K.","family":"Burgdorf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"3855_CR1","doi-asserted-by":"publisher","first-page":"1655","DOI":"10.1080\/0284186X.2018.1518593","volume":"57","author":"FN van Erning","year":"2018","unstructured":"van Erning FN, Mackay TM, van der Geest LGM, Groot Koerkamp B, van Laarhoven HWM, Bonsing BA, Wilmink JW, van Santvoort HC, de Vos-Geelen J, van Eijck CHJ, Busch OR, Lemmens VE, Besselink MG (2018) Association of the location of pancreatic ductal adenocarcinoma (head, body, tail) with tumor stage, treatment, and survival: a population-based analysis. 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Paul Suno Krohn and Daisuke Fukumori have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"\u00a0Disclosures"}},{"value":"KSK received a scientific grant from Intuitive Surgical not related to the current study and is a paid speaker for Intuitive Surgical. CT received a grant from Intuitive Surgical not related to the current study. SB received an educational grant from Intuitive Surgical not related to the current study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"297"}}