Technical feasibility of da Vinci SP single-port robotic cholecystectomy: a case report

Abstract

The da Vinci surgical system released its new pure single-port platform, the da Vinci SP, offering improvements and refinements for established robotic single-site procedures. Herein, we present the first case of robotic single-site cholecystectomy using the da Vinci SP system (RSPC) demonstrating its safety and technical feasibility. A 59-year-old female with chronic calculus cholecystitis was admitted for elective RSPC. Docking time took 6 minutes. The patient underwent successful RSPC with a total operation time of 89 minutes. There was no significant intraoperative event. The patient had unremarkable postoperative course. Multijoint instruments, simple docking process, and third-arm functionality are among the RSPC's advantages. Absence of the port for an assistant surgeon can be a hindrance in performing more complicated surgeries. The present case suggests that RSPC is safe and feasible. The promising features and potential application of da Vinci SP in hepatobiliary and pancreas surgery need further study.

Initial experiences of robotic SP cholecystectomy: a comparative analysis with robotic Si single-site cholecystectomy

“…With the introduction of the new da Vinci SP surgical system, it is to the author's best knowledge that this is the first report on the early experiences on this new platform in the general surgical field, particularly in cholecystectomy. After experiencing a successful first case of RSPC [9], careful clinical application of the da Vinci SP robotic surgical system is increasing. According to the present results comparing RSPC and RSSC, it was noted that the overall postoperative complication rates, conversion rates, blood loss, and hospital stay were comparable between the 2 groups, suggesting that the da Vinci SP platform is feasible and equally as safe as the da Vinci Si and Xi.…”

“…Firstly, the present results showed that RSPC significantly reduced total operation time and its subsets; docking time, actual dissection time, and console time. As previously described [9], additional new features of the SP system include the fully-wristed endoscope, and a graphical user interface in the surgeon console and vision cart showing real-time position of instruments relative to each other. These differences may be attributed to several new features of the da Vinci SP system.…”

“…The surgeon console and the vision cart are universal for all the 4th generation platforms and, hence, can be used in Si, Xi, and SP patient side cart models. Surgical techniques for Si RSSC and RSPC have been previously described [6,9] (Fig. 2, Supplementary Video).…”

Axillary lymph node dissection using a robotic surgical system: Initial experience

“…After induction of general anesthesia, a hepatobiliary surgeon performed robot-assisted cholecystectomy using the da Vinci SP surgical system. 10 RNSM using the da Vinci SP surgical system was then performed as described in detail previously. 11 Briefly, RNSM was performed through a lateral incision 3.5 cm in size located on the midaxillary line at the level of the nipple.…”

A Novel Handheld Bimanual Surgical Robot for Single-Port Laparoscopic Surgery

“…So, there are some team using the Da Vinci Si Surgical System to operate cholecystectomy(41,42). A team has used Da Vinci SP for a 59 years old woman with chronic calculus cholecystitis to operate cholecystectomy in 89 minutes recently(43). Although the cholecystectomy…”