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New research · Pulmonology & Critical Care
HPB : the official journal of the International Hepato Pancreato Biliary Association · 23h
Cohort studyHPB : the official journal of the International Hepato Pancreato Biliary Association · 2026

Failure to rescue after pancreatoduodenectomy and the advent of robotic surgery: outcomes across 20 years practice.

Alessia Vallorani, Lavisha Singh, Sangrag Ganguli … Melissa E Hogg
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Pulmonology & Critical CareCohort study

Failure to rescue after pancreatoduodenectomy was 8.4% in a high-volume center.

Failure to rescue after pancreatoduodenectomy and the advent of robotic surgery: outcomes across 20 years practice.

Alessia Vallorani et al. · HPB : the official journal of the International Hepato Pancreato Biliary Association · 2026
Background

Pancreatoduodenectomy (PD) remains associated with substantial morbidity, but mortality has dropped in specialized centers.

Methods

A retrospective review of elective open and robotic PDs performed between 2007 and 2024 at a single high-volume center was conducted.

8.4%
Results
8.4% of patients died after developing serious problems following pancreas surgery
More results

Among 572 open and 140 robotic PDs, median age was 68 years and 50.1% were female.

Major complications occurred in 28%.

Compared with open PD, robotic procedures showed fewer major complications (21% vs 30%, p = 0.042) and shorter median hospital stay (7 vs 9 days, p < 0.001).

More results

FTR was not influenced by surgical approach, but was associated with higher comorbidity, organ failure and lack of timely ICU escalation.

“
Conclusion

Over nearly two decades, low FTR rates were achieved. Rescue success reflected patient risk, complication severity, and institutional response.

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