
Highlight
- PD-ROBOSCORE effectively predicts major postoperative morbidity following pancreaticoduodenectomy.
- The score performs equally well in open and robotic surgical approaches, supporting its broad applicability.
- Higher PD-ROBOSCORE values correlate with increased risk of severe complications, reinforcing its clinical prognostic value.
- In technically challenging (high-difficulty) cases, the surgical approach (robotic vs open) does not significantly alter major complication rates.