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Single-Port Robotic Cytoreductive Surgery for Colon Cancer Peritoneal Recurrence with the da Vinci SP
1Department of Surgery, Kyungpook National University Hospital, Daegu, Republic of Korea.
Annals of Surgical Oncology
|June 19, 2026
Summary
Single-port robotic cytoreductive surgery (CRS) using the da Vinci SP system is feasible for select colon cancer patients with limited peritoneal metastases. This minimally invasive approach shows promise for enhanced recovery and reduced trauma.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic platforms offer advantages in abdominal surgery but are underutilized in cytoreductive surgery (CRS).
- The da Vinci SP system presents a potential solution to multi-port limitations in CRS.
- This case explores its application in peritoneal metastases from colon cancer.
Purpose of the Study:
- To evaluate the feasibility and outcomes of single-port robotic CRS using the da Vinci SP system.
- To assess the safety and efficacy of this approach in a patient with colon cancer and peritoneal metastases.
Main Methods:
- A 61-year-old female patient with recurrent colon cancer underwent neoadjuvant chemotherapy followed by CRS.
- Procedures included hysterectomy, rectal resection, omentectomy, and hyperthermic intraperitoneal chemotherapy, all performed using the da Vinci SP system via a single umbilical port.
- Complete cytoreduction (CC-0) was achieved.
Main Results:
- The surgery lasted 501 minutes with 150 mL blood loss.
- The patient reported minimal pain (NRS 3) and was discharged on day 9 without complications.
- The patient remained recurrence-free for over 6 months post-adjuvant chemotherapy.
Conclusions:
- Single-port robotic CRS with the da Vinci SP is feasible in carefully selected patients with limited peritoneal disease.
- This technique allows multi-quadrant access through a single incision, reducing trauma and potentially improving recovery.
