Textbook outcome after robotic pancreatic enucleation: a two-center evaluation of an ideal perioperative pathway - Takeaways - MDSpire
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Achieving Textbook Outcomes After Robotic Pancreatic Enucleation: A Two-Center Assessment of an Optimal Perioperative Pathway

  • 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

  • October 7, 2026

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  • 1

    Robotic pancreatic enucleation aims to remove benign or low-grade malignant lesions while preserving functional pancreatic parenchyma.

  • 2

    The study developed and assessed a procedure-specific textbook outcome for robotic pancreatic enucleation in two institutional cohorts.

  • 3

    Achieving rPE-TO required all 6 criteria: no conversion, complete resection without reoperation, no clinically relevant fistula, no major complication, no 30-day readmission, and 90-day survival.

  • 4

    The retrospective study included adults undergoing completed robotic pancreatic enucleation at Heidelberg from April 2023 to March 2025 and Johns Hopkins from September 2017 to October 2025.

  • 5

    Investigators combined both cohorts for multivariable analysis of factors associated with rPE-TO failure and adjusted for center.

Original Source(s)

Textbook outcome after robotic pancreatic enucleation: a two-center evaluation of an ideal perioperative pathway

  • 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

  • October 7, 2026

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