Initial Experience of Esophagectomy Using the da Vinci SP System via Subcostal Approach

Background:The da Vinci single-port (SP) robotic system offers enhanced maneuverability and visualization through a single access site.Although its use in esophagectomy is still in its early stages, the subcostal approach may provide a minimally invasive and ergonomic access route to the mediastinum.We report our initial experience with esophagectomy using the da Vinci SP system via a subcostal approach.Methods: Three patients with thoracic esophageal cancer underwent da Vinci SP robotic esophagectomy via a right subcostal incision for the thoracic phase.Key surgical outcomes, including operative time, intraoperative events, and shortterm postoperative results, were assessed.Results: All procedures were completed successfully without conversion to multiport or open surgery.The median thoracic operative time was 120 minutes.No intraoperative complications were observed.R0 resection was achieved in all patients.Conclusion: Esophagectomy using the da Vinci SP system via a subcostal approach is technically feasible and safe in selected patients.This novel access route may facilitate single-port thoracic procedures with favorable short-term outcomes.Session 4