Single+1 Port Robotic Splenectomy Using the da Vinci SP System-Experience of a Single Centre.

BACKGROUND

Laparoscopic splenectomy is the standard procedure for benign splenic disease but remains challenging in splenomegaly or complex hilar anatomy. The da Vinci SP system offers enhanced dexterity and visualisation via a single port.

METHODS

We retrospectively reviewed six female patients who underwent single+1 port robotic splenectomy with the da Vinci SP system between August 2024 and January 2025. A 12-mm assistant port allowed suction, retraction, and stapler use.

RESULTS

Mean age was 43.3 years and BMI 24.9 kg/m2. Indications included splenic cysts, indeterminate lesions, suspected disseminated peritoneal leiomyomatosis, and haemolytic anaemia. Mean operation and console times were 182.5 and 106.7 min, respectively; mean blood loss was 116.7 mL. One patient had splenic vein bleeding; no conversions or ≥ Clavien-Dindo II complications occurred. All patients were discharged by day 4.

CONCLUSIONS

Single+1 port robotic splenectomy is feasible and safe; larger studies are warranted.