Single+1 Port Robotic Splenectomy Using the da Vinci SP System—Experience of a Single Centre

BACKGROUND: Laparoscopic splenectomy is the standard procedure for benign splenic disease but remains challenging in splenomegaly or complex hilar anatomy. The da Vinci SP system offers enhanced dexterity and visualisation via a single port. METHODS: We retrospectively reviewed six female patients who underwent single+1 port robotic splenectomy with the da Vinci SP system between August 2024 and January 2025. A 12-mm assistant port allowed suction, retraction, and stapler use. RESULTS: . Indications included splenic cysts, indeterminate lesions, suspected disseminated peritoneal leiomyomatosis, and haemolytic anaemia. Mean operation and console times were 182.5 and 106.7 min, respectively; mean blood loss was 116.7 mL. One patient had splenic vein bleeding; no conversions or ≥ Clavien-Dindo II complications occurred. All patients were discharged by day 4. CONCLUSIONS: Single+1 port robotic splenectomy is feasible and safe; larger studies are warranted.