{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:14:03Z","timestamp":1783419243834,"version":"3.54.6"},"reference-count":20,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Minimally invasive liver surgery has continuously developed with the advent of robotic systems that could present some advantages regarding dexterity and visualization. Single-port robotic devices have been introduced more recently in order to minimize the invasiveness of surgery. Unfortunately, scientific literature on this topic is still poor. This pilot feasibility study aimed to assess the technical applicability and short-term outcomes of single-port robotic liver resection. Methods: The study was designed as a retrospective analysis of 11 consecutive patients treated with single-port robotic liver resection. All interventions were performed in order to treat lesions localized in the anterolateral segments of the liver. All preoperative, intraoperative, and postoperative data were collected retrospectively and considered for the analysis. Cirrhotic patients were graded according to the Child\u2013Pugh score. Results: The median age was 67 years (IQR 41\u201378), and 63.6% of the patients were women. There was cirrhosis in 27.3% of the cases, and all cases were categorized as Child\u2013Pugh class A. Neoadjuvant chemotherapy was not administered in any of the patients. All procedures were considered Tampa grade II. The median operation time was 190 min (IQR 70\u2013320), and the median blood loss was 50 mL (IQR 0\u2013300). Pedicle clamping was done in 36.4% of the cases. An additional assistant trocar was needed in 45.4% of the procedures. In total, two anatomical and nine non-anatomical resections were done. There were no postoperative complications, reinterventions, and 90-day readmissions. The median length of hospitalization was 2 days (IQR 1\u20133). The postoperative pain was minimal, with a median VAS and NRS score of 0 on postoperative days 0 and 1. Analgesic treatment was ceased on postoperative day 1, and the median time to first flatus was 1 day in all patients. Conclusions: Single-port robotic liver resection seems to be technically possible in selected patients with intermediate-difficulty lesions in anterolateral segments. Additional research is necessary to establish its role in minimally invasive liver surgery.<\/jats:p>","DOI":"10.3390\/jcm15135028","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T08:45:20Z","timestamp":1782722720000},"page":"5028","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Single-Port Robotic Liver Surgery: A Pilot Feasibility Study of a Standardized Surgical Approach"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6007-8834","authenticated-orcid":false,"given":"Silvio","family":"Caringi","sequence":"first","affiliation":[{"name":"Unit of Hepato-Biliary and Pancreatic Surgery, \u201cF. Miulli\u201d General Hospital, 70021 Acquaviva delle Fonti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7759-4340","authenticated-orcid":false,"given":"Antonella","family":"Delvecchio","sequence":"additional","affiliation":[{"name":"Unit of Hepato-Biliary and Pancreatic Surgery, \u201cF. Miulli\u201d General Hospital, 70021 Acquaviva delle Fonti, Italy"},{"name":"Department of Medicine and Surgery, LUM University, 70010 Casamassima, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annachiara","family":"Casella","sequence":"additional","affiliation":[{"name":"Unit of Hepato-Biliary and Pancreatic Surgery, \u201cF. Miulli\u201d General Hospital, 70021 Acquaviva delle Fonti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Ferraro","sequence":"additional","affiliation":[{"name":"Unit of Hepato-Biliary and Pancreatic Surgery, \u201cF. Miulli\u201d General Hospital, 70021 Acquaviva delle Fonti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Romano","sequence":"additional","affiliation":[{"name":"Unit of Hepato-Biliary and Pancreatic Surgery, \u201cF. Miulli\u201d General Hospital, 70021 Acquaviva delle Fonti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Stasi","sequence":"additional","affiliation":[{"name":"Unit of Hepato-Biliary and Pancreatic Surgery, \u201cF. Miulli\u201d General Hospital, 70021 Acquaviva delle Fonti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nunzio","family":"Tralli","sequence":"additional","affiliation":[{"name":"Unit of Hepato-Biliary and Pancreatic Surgery, \u201cF. Miulli\u201d General Hospital, 70021 Acquaviva delle Fonti, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susana Abigail","family":"Diaz Menjivar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital Nacional Rosales of El Salvador, National University of El Salvador, San Salvador 1101, El Salvador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8914-9070","authenticated-orcid":false,"given":"Henriquez","family":"Angel","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Avante Hospital Complex, San Salvador 1101, El Salvador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1668-932X","authenticated-orcid":false,"given":"Riccardo","family":"Memeo","sequence":"additional","affiliation":[{"name":"Unit of Hepato-Biliary and Pancreatic Surgery, \u201cF. Miulli\u201d General Hospital, 70021 Acquaviva delle Fonti, Italy"},{"name":"Department of Medicine and Surgery, LUM University, 70010 Casamassima, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2101-5418","authenticated-orcid":false,"given":"Michele","family":"Tedeschi","sequence":"additional","affiliation":[{"name":"Unit of Hepato-Biliary and Pancreatic Surgery, \u201cF. Miulli\u201d General Hospital, 70021 Acquaviva delle Fonti, Italy"},{"name":"Department of Medicine and Surgery, LUM University, 70010 Casamassima, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"4814","DOI":"10.1007\/s00464-024-11126-w","article-title":"Da Vinci single-port robotic system current application and future perspective in general surgery: A scoping review","volume":"38","author":"Celotto","year":"2024","journal-title":"Surg. Endosc."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Caringi, S., Delvecchio, A., Casella, A., Palma, C., Ferraro, V., Filippo, R., Stasi, M., Tralli, N., Manzia, T.M., and Tedeschi, M. (2025). The da Vinci Single-Port Robotic Platform in General Surgery: A Scoping Review of Current Applications and Outcomes. J. Clin. 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