Academic Journal
A prospective, single-center investigation of the single-port robotic platform for cholecystectomy, gastrectomy and anti-reflux operations.
| Title: | A prospective, single-center investigation of the single-port robotic platform for cholecystectomy, gastrectomy and anti-reflux operations. |
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| Authors: | Bilik A; The Digestive Health Institute, AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Vanterpool G Jr; The Digestive Health Institute, AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Syblis C; The Digestive Health Institute, AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Eid MK; The Digestive Health Institute, AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Sucandy I; The Digestive Health Institute, AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA., Ross SB; The Digestive Health Institute, AdventHealth Tampa, 3000 Medical Park Drive, Suite #500, Tampa, FL, 33613, USA. mysharonaross@gmail.com. |
| Source: | Surgical endoscopy [Surg Endosc] 2026 Aug; Vol. 40 (8), pp. 6577-6584. Date of Electronic Publication: 2026 Jun 04. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE |
| Imprint Name(s): | Publication: 1992- : New York : Springer Original Publication: [Berlin] : Springer International, c1987- |
| MeSH Terms: | Gastrectomy*/methods , Gastrectomy*/instrumentation , Hernia, Hiatal*/surgery , Robotic Surgical Procedures*/methods , Robotic Surgical Procedures*/instrumentation , Fundoplication*/methods , Gastroesophageal Reflux*/surgery , Cholecystectomy, Laparoscopic*/methods, Cholelithiasis/surgery ; Humans ; Female ; Male ; Prospective Studies ; Middle Aged ; Aged ; Feasibility Studies ; Adult ; Treatment Outcome |
| Abstract: | Introduction: Single-port (SP) robotic operations are the next frontier of minimally invasive surgery (MIS), promising to build upon multi-port robotic and laparoscopic techniques. This study aimed to assess the safety and feasibility of SP robotic cholecystectomy, hiatal hernia repair with fundoplication, and gastrectomy. Methods: With IDE and IRB approval, 12 patients underwent cholecystectomy, hiatal hernia repair with fundoplication and gastrectomy using the single-port surgical platform. All operations were undertaken through a 1.2 cm incision at the umbilicus and the patients who underwent a gastrectomy had an additional 1.2 cm incision for the stapler. Patient perioperative data were collected prospectively. Data is reported as mean ± SD. Results: Five patients underwent SP cholecystectomy for cholelithiasis or biliary dyskinesia. Console time was 172 ± 116.7 min, EBL was minimal. There were no conversions or intraoperative complications. There were no postoperative complications or mortalities. All patients were discharged the same day. Patient #5 was readmitted within 30 days for an aberrant side branch bile duct leak, treated with a percutaneous drain and a stent. Five patients underwent SP hiatal hernia repair with Nissen or Toupet fundoplication for GERD. Console time was 246 ± 16.0 min, EBL was minimal, there were no conversions or intraoperative complications. There were no postoperative complications, mortalities, or readmissions. All patients were discharged the following day. In the second phase, two patients underwent SP gastrectomy, one partial gastrectomy for GIST and one near total gastrectomy with D2 lymphadenectomy for gastric adenocarcinoma, without conversion or perioperative complications. Both had negative margins with adequate lymph node harvest and were discharged on postoperative days 2 and 4 respectively without readmissions. Conclusion: SP cholecystectomy, gastrectomy and hiatal hernia repair with fundoplication are safe and efficacious. Implementation of SP robotic surgery using the da Vinci SP platform lays the groundwork for expanding single-port robotic techniques into advanced foregut and hepatopancreatobiliary (HPB) operations. (© 2026. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
| Competing Interests: | Declarations. Disclosures: Bilik, Vanterpool Jr, Syblis, Eid, and Sucandy have no disclosures. Ross is a consultant for Intuitive Surgical, Johnson and Johnson, Quentus, Caresyntax, Boston Scientific, and Ethicon. Sharona Ross receives educational grants for the Women in Surgery Career Symposium from Intuitive Surgical and Medtronic. |
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| Contributed Indexing: | Keywords: Hiatal hernia repair; Near total gastrectomy; Partial gastrectomy; Robotic SP cholecystectomy; Safety; Surgical outcomes |
| Entry Date(s): | Date Created: 20260604 Date Completed: 20260811 Latest Revision: 20261008 |
| Update Code: | 20261008 |
| DOI: | 10.1007/s00464-026-12924-0 |
| PMID: | 42243581 |
| Database: | MEDLINE |
| ISSN: | 1432-2218 |
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| DOI: | 10.1007/s00464-026-12924-0 |