ArticleHepatobiliary surgery and nutrition2026
Factors associated with textbook outcome after robotic-assisted pancreatoduodenectomy: a single surgeon's retrospective cohort.
Article in Hepatobiliary surgery and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.
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Who cites it
2 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The learning curve of robotic pancreatoduodenectomy: a systematic review of learning curve assessment methodologies, proficiency thresholds, training pathways and clinical outcomes.Journal of robotic surgery · 2026Pooled it
- Robotic versus laparoscopic pancreatoduodenectomy across the learning curve: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2026Pooled it
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Authors and funding
9 authors.
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Abstract
Background: Textbook outcome (TO) represents as an important parameter in assessing the quality of surgical procedures. The factors that contributed to the achievement of the TO in robotic-assisted pancreaticoduodenectomy (RPD) have not been well-documented. This study aimed to analyze the TO in the consecutive series of RPD performed by one single surgeon and identify perioperative factors that are independently associated with TO. Methods: A cohort of 302 patients who underwent RPD by one single surgeon at First Affiliated Hospital of Sun Yat-sen University between July 2016 and August 2024 were retrospectively recruited into the study. The TO rates for all patients and patients after the learning curve were calculated. Baseline characteristics of patients were compared between TO and non-TO groups. Multivariate logistic regression analysis was performed to evaluate the variables associated with achieving TO. Results: TO was achieved in 57.0% of all patients who underwent RPD and in 63.2% after the learning curve. Multivariate logistic regression analysis revealed that post-learning curve (P=0.002), concomitant diabetes (P=0.009), dilated pancreatic duct (>3 mm, P=0.01), and American Society of Anesthesiologists (ASA) score ≤ II (P<0.001) were independently associated with achieving TO after RPD. Conclusions: Our single surgeon's experience demonstrated that TO was achievable in more than half of the patients after RPD. Surgeon's learning curve, ASA score, concomitant diabetes, and dilated pancreatic duct (>3 mm) were independently associated with TO.
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