Application of the Da Vinci Single-Port (SP) Robot in General Surgery: A First Systematic Review.

Abstract

<h4>Introduction</h4>Minimally invasive surgery has revolutionized surgical practice by reducing surgical trauma and enhancing recovery. In this context, the da Vinci SP System represents a major technological advancement. This review aims to report its clinical applications in general surgery, evaluating associated outcomes and potential advantages.<h4>Methods</h4>A systematic search of MEDLINE, Embase and Web-of-Science databases was conducted in accordance with PRISMA guidelines. The study was pre-registered in PROSPERO.<h4>Results</h4>Seventy-six studies involving 1841 patients were included. The most frequently reported procedures were colorectal/transanal surgeries (868) and cholecystectomies (661). Learning-curve analyses for SP colorectal surgery demonstrated performance stabilization after 18-21 cases. Comparative studies showed shorter docking times and reduced hospital stays for SP procedures compared to laparoscopic multiport or single-site robotic approaches.<h4>Conclusion</h4>The da Vinci SP system appears to be a safe and feasible option for various general surgery procedures. Preliminary evidence supports improved perioperative efficiency in specific contexts, though further validation is warranted.