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    Author links open overlay panel Aradhya Nigam MD a, Jason S. Hawksworth MD b, Emily R. Winslow MD c • Despite an increase in the incidence of hepatocellular carcinoma, adoption of minimally invasive liver resection has remained slow in the United States. • Advancements in laparoscopic and robotic technology have enabled surgeons to safely perform minimally invasive liver resection for hepatocellular carcinoma. • Minimally invasive liver resection combined with ERAS protocol have vastly reduced hospital

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    g the two has been limited.and has prompted further investigation. The aim of this study was to compare both approaches while including the learning curve phase for RPD. Methods: A 1:1 propensity score-matched (PSM) analysis of a prospective database of RPD with OPD (2017-2022) at a high-volume center was performed. Main outcomes were overall- and pancreas specific complications. Results: Of 375 patients who underwent PD (OPD n=276, RPD n=99), 180 were included in PSM analysis (90 per group). RPD was associated with less blood loss (500 (300-800) vs. 750 (400-1000)ml; P=0.006) and less total complications (50% vs. 19%; P<0.001). Operative time was longer (453 (408-529) vs. 306 (247-362)min; P<0.001); in patients with ductal adenocarcinoma, fewer lymph nodes were harvested (24 (18-27) vs. 33 (27-39); P<0.001) with RPD versus OPD. There were no significant differences for major complications (38 vs. 47%; P=0.291), reoperation rate (14% vs. 10%; P=0.495), postoperative pancreatic fistula

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    • Heidelberg @surgery_hps series on robotic vs open whipple in @AnnalsofSurgery. Vs open, robotic approach: ⬇️EBL ⬇️all complications 🟰PF rates but ⬆️op time ⬇️LN yield Long-term data still needed to determine oncologic safety of robotic PD for PDAC. https://t.co/qCl6ReLpbD