To characterize the learning curve for robotic pancreaticoduodenectomy (RPD) in 120 consecutive cases using CUSUM and risk-adjusted CUSUM (RA-CUSUM), examining operative performance, postoperative safety, and oncological adequacy.
Approach:
Design and setting: Retrospective analysis of prospectively recorded data for consecutive RPD cases performed from January 2023 through April 2026 at a high-volume pancreatic surgery center in Rome.
Surgical program: One surgeon performed all operations using a standardized, fully robotic Whipple procedure and intracorporeal Child’s reconstruction. The technique was maintained without major modifications during the study.
Measures: Recorded variables included operative and patient characteristics, complications, mortality, and oncological outcomes. Major morbidity was defined as Clavien–Dindo grade III or higher within 30 days; relevant complications and margin status used stated ISGPS a…
Learning-curve analysis: CUSUM and RA-CUSUM analyses were used to assess chronological changes in performance and postoperative safety.
Key Findings:
The provided context describes the study rationale, methods, and endpoints but does not report study results.
Interpretation:
The study was designed to assess whether operative performance, postoperative safety, and oncological adequacy changed across the establishment of an RPD program.
Limitations:
The supplied context does not include results or the full statistical analysis.
The study was conducted at one high-volume center, with all procedures performed by one surgeon.
by Giuseppe Quero, Matteo Aulicino, Lodovica Langellotti, Gloria Santoro, Giuseppe Massimiani, Flavia Taglioni, Giuseppe Daloiso, Roberta Menghi, Federica Marzi, Antonio Pio Tortorelli, Claudio Fiorillo, Claudia Ferrantone, Davide De Sio, Mario Lettieri, Rossella Sepe, Vincenzo Tondolo, Sergio Alfieri
