Related Experiment Video
Updated: Jul 8, 2025

Robotic Central Pancreatectomy with Roux-en-Y Pancreaticojejunostomy
Published on: November 20, 2021
Early experiences in robotic single-site plus one port platform for complex hepatobiliary and pancreatic surgery
Jae Uk Chong1, Ju Yeon Lee2, Jin Hong Lim3
1Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, National Health Insurance Services Ilsan Hospital, Goyang, Republic of Korea.
Background:
Minimal invasive surgery in hepatobiliary and pancreatic (HBP) surgery has been accepted worldwide in recent years. However, applications of single-site laparoscopic surgery in complex HBP surgery have been limited due to difficulty in manoeuvring instruments and the limited range of motion resulting from clashing instruments.
Methods:
To overcome the limitations, we have used the Da Vinci single-site surgical platform with one additional port in a Da Vinci Xi system to perform donor right hepatectomy, pancreaticoduodenectomy, and combined resection of the common bile duct and spleen vessels preserving distal pancreatectomy.
Results:
In selected patients, using a robotic single-site plus one port system allowed the successful completion of complex HBP surgery.
Discussion:
Complex HBP surgery can be performed safely in a stable environment using the robotic single-site plus one port system. Further exploration of a robotic single-site plus one port in complex HBP surgery is necessary.

