Single-Port Robot-Assisted Thoracic Surgery Esophagectomy Using the da Vinci SP System

摘要

Background: Single-port (SP), subcostal (SC) robot-assisted minimally invasive esophagectomy (RAMIE) aims to further reduce surgical trauma compared with multiport RAMIE, yet clinical evidence is still emerging.Methods: We reviewed our initial clinical series of SP SC RAMIE procedures performed with the da Vinci SP platform.Feasibility criteria were an R0 resection and an adequate lymph-node harvest.Operative times, pain levels, complications, length of stay, and short-term mortality were recorded.Results: All operations achieved radical resection and met the predefined lymph-node target.No intra-operative conversions occurred.Thoracic console times and total operative durations were comparable to established multiport RAMIE benchmarks.Postoperatively, patients reported low pain scores and most were mobilized on the first day.Serious complications were infrequent and managed without reoperation.There was no perioperative mortality, and hospital discharge was generally within the first postoperative week.Conclusion: Early experience indicates that SP SC RAMIE with the da Vinci SP system is technically feasible and safe, combining oncological soundness with low postoperative pain and rapid recovery.These findings warrant confirmation in larger prospective studies and suggest that future SP-specific stapling and vessel-sealing tools could further optimize the technique.