Feasibility of Single-Site Plus One-Port Robotic Distal Pancreatectomy Using the da Vinci SP in Comparison With the Conventional Xi Platforms: A Multicenter Experience.

BACKGROUND

Ongoing efforts in minimally invasive surgery aim to reduce access sites. This study evaluated the feasibility of the da Vinci SP platform for single-site plus one-port robotic distal pancreatectomy (SSRDP) by comparing perioperative outcomes with a previously reported Xi-based approach.

METHODS

Patients who underwent SSRDP using the SP or Xi at two tertiary centres from February 2015 to September 2023 were retrospectively reviewed. Each centre exclusively used one platform.

RESULTS

Thirty-two patients underwent SSRDP (SP, n = 20; Xi, n = 12). The SP group had higher age, body mass index, and ASA scores. Operative time was shorter in the SP group, whereas blood loss, spleen preservation, conversion, postoperative pancreatic fistula, and overall complications were comparable.

CONCLUSIONS

In this early multicenter experience, SSRDP using the SP platform was feasible and achieved acceptable perioperative outcomes comparable to those of Xi-SSRDP.