Caringi S, Delvecchio A, Casella A, Ferraro V, Riccelli U, Stasi M, Manzia TM, Tedeschi M, Memeo R. Robotic left lateral sectionectomy with the da Vinci single-port system: A case report. World J Clin Cases 2026; 14(10): 117286 [DOI: 10.12998/wjcc.v14.i10.117286]
Corresponding Author of This Article
Silvio Caringi, Consultant, Department of Surgery, Università Degli Studi Roma “Tor Vergata”, Via Montpellier 1, Roma 00133, Italy. silvio.caringi@ptvonline.it
Research Domain of This Article
Surgery
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Case Report
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Apr 6, 2026 (publication date) through Apr 5, 2026
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Publication Name
World Journal of Clinical Cases
ISSN
2307-8960
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Caringi S, Delvecchio A, Casella A, Ferraro V, Riccelli U, Stasi M, Manzia TM, Tedeschi M, Memeo R. Robotic left lateral sectionectomy with the da Vinci single-port system: A case report. World J Clin Cases 2026; 14(10): 117286 [DOI: 10.12998/wjcc.v14.i10.117286]
Silvio Caringi, Tommaso Maria Manzia, Department of Surgery, Università Degli Studi Roma “Tor Vergata”, Rome 00133, Italy
Silvio Caringi, Antonella Delvecchio, Annachiara Casella, Valentina Ferraro, Matteo Stasi, Michele Tedeschi, Riccardo Memeo, Unit of Hepato-Biliary and Pancreatic Surgery, “F. Miulli” General Hospital, Acquaviva delle Fonti 70021, Italy
Antonella Delvecchio, Michele Tedeschi, Riccardo Memeo, Department of Medicine and Surgery, LUM University, Casamassima 70010, Puglia, Italy
Umberto Riccelli, Department of Maxillo-Facial Surgery, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo 71013, Puglia, Italy
Author contributions: Caringi S and Memeo R contributed to study conceptualization; Stasi M contributed to methodology; Manzia TM and Tedeschi M contributed to validation; Delvecchio A contributed to formal analysis; Ferraro V contributed to resources; Casella A contributed to data curation; Caringi S contributed to manuscript draft preparation; Delvecchio A and Riccelli U contributed to writing-review and editing; Stasi M contributed to visualization; Memeo R contributed to supervision; and Tedeschi M contributed to project administration; all authors have read and agreed to the published version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Silvio Caringi, Consultant, Department of Surgery, Università Degli Studi Roma “Tor Vergata”, Via Montpellier 1, Roma 00133, Italy. silvio.caringi@ptvonline.it
Received: December 4, 2025 Revised: January 16, 2026 Accepted: March 4, 2026 Published online: April 6, 2026 Processing time: 119 Days and 23.7 Hours
Abstract
BACKGROUND
Robotic liver resection has progressively pushed the boundaries of minimally invasive hepatopancreatobiliary surgery. The recently introduced da Vinci single-port (SP) system enables placement of a multiple-channel cannula through a single 2.5-4 cm incision and aims to limit parietal trauma while maintaining the advantages of current multi-port robotic platforms. Here, we report the first Italian case of hepatic resection performed using this platform and summarize the existing literature.
CASE SUMMARY
A 51-year-old woman with a history of breast cancer presented with a 15-mm metastasis in segment II of the liver. Following multidisciplinary assessment, a robotic left lateral sectionectomy was performed using a supra-umbilical 4-cm incision. Docking time was 20 min, and the total operative time was 255 min, with 50 mL of blood loss and 30 min of intermittent hepatic pedicle clamping. No drains were placed. Postoperative pain was ≤ 1 on the Visual Analog Scale, and the patient was discharged on postoperative day 3 without any complications. Histology showed a 12-mm breast cancer metastasis with 2-mm clear margins and good cosmesis.
CONCLUSION
According to published case series and comparative studies, SP robotic liver resections are technically feasible and safe, with reduced postoperative pain, shorter hospital stays, and improved cosmesis. However, current evidence is limited to selected minor resections, and longer follow-up is necessary to validate the oncological outcomes.
Core Tip: This case highlights the feasibility and safety of performing a left lateral segmentectomy for a segment II liver metastasis from breast carcinoma performed using the da Vinci single-port (SP) platform, underscoring the potential advantages of SP robotic surgery in complex hepatic resections.
