Develop a procedure-specific textbook outcome for robotic pancreatic enucleation (rPE-TO), assess it in two institutional cohorts, and investigate factors associated with achieving it.
Approach:
Design and cohorts: Retrospective, two-center cohort study of adults undergoing completed rPE for benign or low-grade malignant pancreatic lesions at Heidelberg University Hospital (April 2023–March 2025) and Johns Hopkins University (September 2017–October 2025).
Outcome definition: rPE-TO required all six criteria: no conversion to open surgery; complete resection without reoperation; no clinically relevant postoperative pancreatic fistula (POPF); no major complication (Clavien–Dindo grade ≥IIIa); no readmission within 30 days; and survi…
Analysis: The proposed outcome was assessed in each cohort. A combined-cohort multivariable analysis adjusted for center to explore factors associated with rPE-TO failure.
Key Findings:
The context describes the study design and outcome definition but provides no cohort results or estimates of rPE-TO achievement.
Interpretation:
The study proposes a composite measure combining established pancreatic-surgery quality indicators with criteria specific to robotic enucleation, including completion of the planned minimally invasive operation and complete lesion removal.
Limitations:
The study was retrospective and limited to two institutional cohorts.
The provided context does not report sample sizes, outcome rates, or results of the multivariable analysis.
by Marionna Cathomas, Zheng Li, Benedict Kinny-Köster, Bo Kong, Ingmar Rompen, Elias Gauer, Miriam Klauß, Christoph W. Michalski, Martin Loos, Jin He, Thomas Hank
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