This study aims to summarize the experience of a large sample of robotic pancreatic surgery assistants, and to serve as a teaching tool for assistants who participate in robotic pancreatic surgery at the early stage.

From 2011 to 2021, our team performed a total of 2 835 robotic pancreatic surgeries, including 1 420 robotic pancreaticoduodenectomies, 1 005 robotic distal pancreatectomies, 205 robotic pancreatic enucleations, 119 robotic central pancreatectomies, and 86 others. Combined with the operation experience and problems encountered during the operation, the experience as a robotic pancreatic surgery assistant was continuously optimized and summarized. In addition, the cumulative sum method was used to quantitatively evaluate the learning curve of the robotic arm docking time.

In this study, the experience of robotic surgical assistant in pancreatic surgery was summarized from four aspects: preoperative preparation, position selection, Trocar placement and docking, and intraoperative cooperation skills. By analyzing the learning curve of docking time in the first 50 operations, it was found that the docking time decreased significantly after 17 operations.

This study summarized the experience from clinical practice, and put forward various operation principles and basic methods, hoping to provide a teaching demonstration for beginners to grow into qualified robotic surgical assistants.