Laparoscopic versus robotic pancreaticoduodenectomy for distal cholangiocarcinoma after learning curves of surgeons: a multicenter propensity score-matched study.

ABSTRACT:

Background

Pancreaticoduodenectomy (PD) is the only potentially curative treatment for distal cholangiocarcinoma (DCC). This multicenter propensity score matching (PSM) study aimed to compare the perioperative and oncological outcomes of laparoscopic PD (LPD) and robotic PD (RPD) after the learning curve of surgeons.

Methods

Consecutive patients with DCC who underwent curative LPD or RPD at eight Chinese centers between January 2016 and December 2022 were included. PSM was performed to minimize selection bias. Univariate and multivariate logistic regression analyses were used to identify independent prognostic factors for textbook outcome (TO) in these patients.

Results

Overall, 529 patients who underwent PD for DCC were included, of which 251 underwent LPD and 278 un

SUBMITTER: Xu S 

PROVIDER: S-EPMC12521029 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature