Superiority of robotic over laparoscopic distal pancreatectomy in surgical outcomes evaluated by textbook outcome

R-DP significantly reduces conversion to open surgery while maintaining perioperative safety comparable to L-DP. Incorporation of the TP method into R-DP substantially improves TO achievement by reducing both conversion and CR-POPF, particularly in patients with a thick pancreas (≥ 12 mm). These findings support the clinical value of R-DP as an advantageous surgical strategy for optimizing perioperative outcomes in technically challenging cases.