If you need a surgical procedure, you may hear the term “single-port robotic surgery” or “single incision robotic surgery” and wonder if it’s an option for you.
Single port means the surgeon uses one small incision as an access point for a camera and tiny surgical tools. The camera gives the surgeon a detailed view of the surgical area. The surgeon sits at a console and controls the instruments throughout the procedure.
Jennifer Preston, MD, a surgeon with Banner - University Medicine, said, “Single-port robotic surgery is another example of how surgical technology continues to evolve to provide more personalized treatment options.” She explained more about this innovative procedure.
How is single-port surgery different from traditional robotic surgery?
Traditional robotic surgery often uses several small incisions, one for the camera and two to three others for the surgical instruments. Single-port robotic surgery uses one access point, so there aren’t as many incisions.
Both are forms of minimally invasive surgery and both are controlled by the surgeon. The best approach depends on the procedure, anatomy, health history and surgeon recommendation. Single-port is not always better or safer.
What procedures can use single-port robotic surgery?
Single-port robotic surgery may be an option for certain procedures and people. Your surgeon can explain the pros and cons of different procedures that may be options for you.
Some options include:
- Nipple-sparing mastectomy/robotic mastectomy for certain women who need breast reconstruction
- Some robotic hernia repairs
- Robotic gallbladder removal
Single-port robotic surgery may be an option for other procedures, depending on the surgeon and location. “It has applications in colorectal surgery, urology and ear, nose, and throat (ENT) procedures. As experience with the technology grows, additional uses may emerge,” Dr. Preston said.
What are the possible benefits of single-port robotic surgery?
With this procedure, you may have:
- Smaller or fewer incisions, which may mean less scarring
- One access point instead of several
- An incision in a less visible area
- Less discomfort after surgery
- A faster return to your activities
- More surgical options for some people and procedures
- Better visualization and instrument control for the surgeon
- In some cases, surgical options that would otherwise not be possible
Who may be a candidate?
“Single-port robotic surgery can be a good option for people who would benefit from flexibility in incision placement, have had previous abdominal surgeries or are concerned about scarring,” Dr. Preston said.
Your surgeon can explain whether you are a candidate depending on your:
- Diagnosis
- Procedure type
- Anatomy
- Medical history and previous surgeries
- Scar tissue
- Cancer type and stage, if applicable
- Overall health
- The shape and build of your body
- Surgeon training and recommendation
- Hospital or location availability
While no single approach is right for everyone, having access to these additional minimally invasive tools allows surgeons to tailor treatment to each person’s needs.
For some people, open surgery, laparoscopic surgery or traditional multi-port robotic surgery are better options. The goal is the safest and most effective procedure, not the newest approach.
What are the limitations?
- Not everyone is a candidate for single-port robotic surgery and not every procedure can be done through one incision.
- Single-port surgery may not be available at the location you or your surgeon prefers.
- In some cases, open or traditional minimally invasive surgery may be the better choice.
- Your surgeon may need to change the plan during surgery for safety.
- Insurance coverage and authorization may vary by procedure.
Questions to ask your surgeon
“The most important step is having a conversation with a qualified surgeon about which approach will provide the safest and most effective outcome. Understanding why a surgeon recommends a particular approach can help you make informed decisions about your care,” Dr. Preston said.
Here are some questions to use as a starting point:
- Am I a candidate for single-port robotic surgery?
- Why do you recommend this approach for me?
- What are the risks and benefits?
- Where will the incision be?
- What are my other surgical options?
- How many incisions would each option require?
- What should I expect during recovery?
- Could the surgical plan change during the procedure?
- How often do you perform this type of surgery?
- Is this available at the location where I will have surgery?
Bottom line
Single-port robotic surgery is a minimally invasive approach that uses one small incision for certain procedures but it is not right for everyone. The safest choice depends on your diagnosis, anatomy, health history and surgeon’s recommendation.
If you are considering surgery, a Banner Health surgeon can explain your options and help you decide whether single-port robotic surgery or another approach is right for you.
FAQs about single-port robotic surgery
Does a robot perform the surgery?
No. During robotic-assisted surgery, the surgeon is in complete control of the robotic instruments throughout the procedure. The robot does not operate or make decisions on its own.
Is single-port robotic surgery the same as laparoscopic surgery?
No. Both are minimally invasive but robotic surgery uses robotic instruments controlled by the surgeon. Laparoscopic surgery uses long handheld instruments.
Is single-port robotic surgery better than traditional robotic surgery?
Not always. It depends on the procedure, anatomy, health history and surgeon recommendation.
Will I only have one incision?
Single-port surgery is designed to use one access point but your surgeon can explain whether any additional incisions may be needed for your specific procedure.
Can single-port robotic surgery be used for breast surgery?
For select patients, it may be used for nipple-sparing mastectomy. Not everyone is a candidate.
What if I am not a candidate?
That does not mean you have fewer good options. Open, laparoscopic or traditional robotic surgery may be safer or more appropriate.
