We graded pancreatic fistulae in our series according to strict ISGPF criteria.17 The leak rate of 21% (5 of 24 patients) after RAPD included all ISGPF grades of fistula and is consistent with outcomes in large open series.4,12,29 Although the leak rate following RACP was 75% (3 of 4 patients), all 3 leaks occurred in high-risk pancreatic remnants, and there was only 1 clinically significant (grade C) event. These 8 pancreatic fistulae occurred with pathologies conducive to leak (ie, soft pancreatic parenchyma): neuroendocrine tumor (2 patients), serous cystic adenoma (2 patients), intraductal papillary mucinous neoplasm (1 patient), mucinous cystic neoplasm (1 patient), and ampullary cancer (2 patients). Moreover, 6 of the 8 leaks occurred in type IA pancreatic remnants (soft, <3-mm ducts), consistent with known risk factors for pancreatic fistula.10,13 Because many investigators report only clinically significant pancreatic fistulae after open surgery, the rate of ISGPF grade B and C leaks was expected to range between 7% and 15%15,30- 32 in the RAPD cohort, while the observed rate was 2 of 24 patients (8%). These robotic data, in conjunction with 2 recent publications, suggest that visual magnification may limit the technical contribution to pancreatic leak among high-risk type IA pancreatic remnants. Wada and Traverso33 observed a low rate of pancreatic leak when using an operating microscope. Similarly, Strasberg et al14 also emphasized the need for magnification during reconstruction of small pancreatic ducts. The leak rate after RACP is consistent with prior reports exceeding 50% in the open pancreatic surgical literature.34,35 Conversely, no leaks occurred after the Frey procedure for chronic pancreatitis, and both patients were symptom-free on subsequent examination.