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Robotic single-port surgery: Preliminary experience in general surgery.
Francesco M Bianco1, Nicolas H Dreifuss1, Betty Chang1
1Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, US.
Summary
Robotic single-port (SP) surgery using the DaVinci platform proved safe and feasible for inguinal hernia repairs and cholecystectomies. This minimally invasive approach showed no complications, supporting its use in general surgery.
Area of Science:
- Minimally Invasive Surgery
- Robotic Surgery
- General Surgery
Background:
- Assessing the safety and feasibility of the DaVinci Single Port (SP) platform in general surgery.
- Evaluating robotic SP platform for common surgical procedures.
Purpose of the Study:
- To analyze the safety and feasibility of robotic single-port (SP) surgery.
- To determine the efficacy of SP platform in general surgical operations.
Main Methods:
- Prospective analysis of robotic SP transabdominal pre-peritoneal inguinal hernia repairs (SP-TAPP) and cholecystectomies (SP-C).
- Primary endpoints: safety and feasibility, assessed by conversion rates and perioperative complications.
- 225 SP procedures analyzed: 84 SP-TAPP and 141 SP-C.
Main Results:
- No conversions or additional ports were required across all 225 procedures.
- Zero mortality, intraoperative, or major postoperative complications reported.
- Short mean length of stay (LOS): 2.7h for SP-TAPP and 2.3h for SP-C.
Conclusions:
- Robotic SP surgery is safe and feasible for inguinal hernia repair and cholecystectomy.
- The SP platform demonstrates potential for broader applications in general surgery with further experience.
