Journal of Minimally Invasive Surgery · Published 2025-12-15 · DOI 10.7602/jmis.2025.28.4.209
Minimally invasive techniques are increasingly used in hepatobiliary and pancreatic surgeries, but robotic single-port (SP) splenectomy remains uncommon due to the rarity of splenic diseases. We present a case of a 57-year-old woman with left upper quadrant pain and a 4.3-cm splenic mass suggestive of hamartoma. Due to persistent symptoms and cosmetic concerns, robotic SP splenectomy was performed using the da Vinci SP system (Intuitive Surgical, Inc.) via a transumbilical incision, with an additional assist port in the left abdomen. The procedure lasted 264 minutes with minimal blood loss, and the patient was discharged without complications on postoperative day 9. Histopathology confirmed a splenic hamartoma. This case highlights the feasibility and safety of robotic SP splenectomy in adults, suggesting potential for wider application with further experience and refinement.
Abstract from DOAJ. Public domain (CC0 1.0).
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