Single-port robotic-assisted hepatic caudate lobectomy using the da Vinci SP® system: A case report

Objective To report the first experience of performing the single-port robotic-assisted hepatic caudate lobectomy via the da Vinci SP® surgical system and demonstrate the safety and technical feasibility of this platform. Methods A 30-year-old female patient with diagnosis of hepatic hemangioma underwent single-port robotic-assisted caudate lobectomy using the da Vinci SP® system at the Chinese People's Liberation Army (PLA) General Hospital on January 20, 2022. The clinical data, preoperative preparations, surgical procedures, and postoperative recovery of this patient were summarized. Results The patient underwent single-port robotic-assisted hepatic caudate lobectomy successfully. The intraperitoneal operation time was 97 minutes, and the estimated blood loss was 20 ml. No significant intraoperative complications were observed. The Visual Analogue Scale (VAS) pain intensity score was 3/10 in the immediate postoperative period and 1/10 on postoperative day one. The patient was discharged on postoperative day 2. Conclusion Herein, we report the first case of single-port robotic-assisted caudate lobectomy using da Vinci SP® system, and this operation in complicated hepatectomy is technically safe and feasible. The present case indicated that the single-port robotic-assisted surgery is expected to further improve the application prospect of single-port surgery.