title: Robotic single-access splenectomy using the Da Vinci Single-Site® platform: a case report.
abstract: BACKGROUND
  Single-access laparoscopic splenectomy can offer patients some advantages. It has many difficulties, such as instrument clashing, lack of triangulation, odd angles and lack of space. The Da Vinci Single-Site® robotic surgery platform could decrease these difficulties. We present a case of single-access robotic splenectomy using this device.
  
  
  METHODS
  A 37 year-old female with idiopathic thrombocytopenic purpura was operated on with a single-site approach, using the Da Vinci Single-Site robotic surgery device.
  
  
  RESULTS
  The procedure was successfully completed in 140 min. No intraoperative and postoperative complications occurred. The patient was discharged from hospital on day 3.
  
  
  CONCLUSIONS
  Single-access robotic splenectomy seems to be feasible and safe using the new robotic single-access platform, which seems to overcome certain limits of previous robotic or conventional single-access laparoscopy. We think that additional studies should also be performed to explore the real cost-effectiveness of the platform.
authors.affiliation: Department of Laparoscopic and Robotic Surgery, Monaldi Hospital, Naples, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Corcione
authors.forename: Umberto
authors.initials: U
authors.lastname: Bracale
authors.forename: Felice
authors.initials: F
authors.lastname: Pirozzi
authors.forename: Diego
authors.initials: D
authors.lastname: Cuccurullo
authors.forename: Pier Luigi
authors.initials: PL
authors.lastname: Angelini
mesh_terms: D000328:Adult; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D011696:Purpura, Thrombocytopenic / Q000601:surgery; D012371:Robotics; D013154:Spleen / Q000601:surgery*; D013156:Splenectomy / Q000191:economics / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000191:economics / Q000379:methods*; D016896:Treatment Outcome
keywords: minimally invasive splenic surgery; new single-site Da Vinci platform; robotic surgery; single-incision surgery