596 Robotic Single-Port Suprapubic eTEP-TAR

Dr. Francesco Brucci

Robotic TAR has transformed abdominal wall surgery by reducing complications and enabling discharge usually within 48 hours. Yet, conventional multiport TAR requires six ports and often two dockings, adding invasiveness and complexity. We explored whether such a demanding procedure could be safely performed with a single-port robotic platform. Using the da Vinci SP system, we performed a suprapubic eTEP with bilateral TAR through a 27 mm Pfannenstiel incision and a single docking. The approach allowed safe retromuscular dissection, bilateral release, and mesh placement. The patient recovered without complications and was discharged 14 hours postoperatively. To our knowledge, this is the first in the world reported case of SP eTEP and bilateral TAR and the procedures appears to be safe and feasible, highlighting its potential to further decrease invasiveness, shorten hospital stay, and preserve the advantages of robotic reconstruction in complex midline ventral hernia repair.
General Surgery, Hernia Repair, Single Port Robot

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