Implementing the da Vinci SP® Robotic Platform in Pediatric General Surgery: Improved Single-Site Surgery

Introduction: Single-port robotic surgery (SPRS) provides a single-incision alternative to multiport robotic surgery (MPRS), preserving benefits such as enhanced visualization, dexterity, and ergonomics while reducing the number of incisions. Earlier single-site platforms were limited by instrument mobility and steep learning curves. The da Vinci SP® system addresses these limitations with independently articulated robotic arms that improve precision and maneuverability. Methods: We retrospectively reviewed 5 adolescent patients who underwent SPRS using the da Vinci SP® system at our institution between November 2024 and March 2025. Perioperative and postoperative outcomes were assessed, with follow-up conducted in the clinic within 3 weeks. Data were analyzed using Microsoft Excel. Results: Procedures included cholecystectomy (n = 3), femoral hernia repair (n = 1), and left ovarian cystectomy (n = 1). All procedures were completed via a single 20-25 mm umbilical incision without additional ports or conversion to open. The mean age was 16.4 years (range: 14-18), and the mean weight was 60.8 kg (range: 45.5-77.6). Console times ranged from 32 to 54 minutes (mean 41). All patients were discharged the same day, received no narcotics, and experienced no postoperative complications at 3 weeks. Conclusion: SPRS using the da Vinci SP® system appears technically feasible in carefully selected adolescent patients, with favorable short-term outcomes in this small case series. While encouraging, these results should be interpreted as preliminary. Further studies with larger cohorts and longer follow-up are needed to determine long-term safety, outcomes, and cost-effectiveness.