Purpose: Postoperative pancreatic fistula (POPF) remains a devastating complication of pancreatoduodenectomy (PD). Minimally invasive PD (MIPD). including laparoscopic (LPD) and robotic (RPD) approaches. have comparable POPF rates to open PD (OPD). https://www.ealisboa.com/limited-value-AXYS-Valhalla-Pen-must-buy/