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Background We aim to analyse the safety and feasibility of the DaVinci Single Port (SP) platform in general surgery. Methods A prospective series of robotic SP transabdominal pre‐peritoneal inguinal hernia repairs (SP‐TAPP) and cholecystectomies (SP‐C) (off‐label) were analysed. Primary endpoints were safety and feasibility defined by the need for conversion and incidence of perioperative complications. Results A total of 225 SP procedures were performed; 84 (37.3%) SP‐TAPP (70 unilateral, 7 bilateral), and 141 (62.7%) SP‐C. There were no conversions or additional ports placed. Mean console time was 17.6, 31.9, and 54 min for SP‐C, unilateral, and bilateral SP‐TAPP, respectively. There was no mortality, intraoperative or major postoperative complications. Mean LOS was 2.7 h for elective SP‐TAPP and 2.3 h for SP‐C. Conclusion Robotic SP surgery is safe and feasible for two of the most performed general surgery operations. Further experience might allow expanding the applications of robotic single‐incision surgery for other procedures.

AimOutcomes after resident involvement in emergent colectomies have rarely been studied. The aim of this study was to analyse the outcomes of laparoscopic sigmoidectomy for Hinchey III diverticulitis performed by residents.MethodThis study was a retrospective analysis of patients undergoing laparoscopic sigmoidectomy for diverticulitis. The sample was divided into two groups: patients operated on by a supervised resident (SR) or a senior surgeon (SS). Supervising surgeons and SSs could be general surgeons (GSs) or colorectal surgeons (CSs). A SR was considered the first surgeon if he/she completed at least three of five defined steps of the procedure. The primary end‐points included length of hospital stay (LOS), morbidity and 30‐day mortality. A sub‐analysis of patients operated on by a SR assisted by either a CS or GS was performed.ResultsSupervised residents and SSs operated on 59 and 42 patients, respectively. The presence of a CS was more frequent in the SS group (SR 41% vs SS 81%, P < 0.001). LOS (SR 9.4 days vs SS 6.4 days, P = 0.04) was higher in the SR group. Overall morbidity (SR 39% vs SS 43%, P = 0.69) and 30‐day mortality (SR 5% vs SS 5%, P = 0.94) were also comparable among the groups. Procedures performed by SRs and supervised by a CS were associated with lower morbidity (GS 48% vs CS 25%, P = 0.06) and mortality (GS 8% vs CS 0%, P = 0.26).ConclusionLaparoscopic sigmoidectomy for Hinchey III diverticulitis has comparable outcomes when performed by a supervised SR or a SS. Procedures performed by residents assisted by a CS seem to have better outcomes than those assisted by a GS.