[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-439920-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-439920-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","single-incision-robotic-surgery-the-emerging-milestone-in-minimally-invasive-practice-letter-to-the-editor","Single-incision robotic surgery: the emerging milestone in minimally invasive practice - Letter to the Editor","","Single-incision robotic surgery (SIRS) has emerged as a progression in minimally invasive practice, enabling complex operations through a single entry point. Modern systems such as the da Vinci SP and Versius provide multi-instrument articulation and high-definition visualization through one port, addressing ergonomic and triangulation limitations of traditional laparoscopy. Evidence from multiple countries supports SIRS feasibility and safety across urology, gynecology, and general surgery, with reports of lower conversion rates and improved cosmesis. Key constraints include cost and learning curve, while future trials and cost-effectiveness analyses are needed to establish broader clinical value.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/single-incision-robotic-surgery-the-emerging-milestone-in-minimally-invasive-practice-letter-to-the-editor/439920/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/single-incision-robotic-surgery-the-emerging-milestone-in-minimally-invasive-practice-letter-to-the-editor/439920.png","ImageObject",300,407,{"name":42,"@type":43},"McGucket","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is single-incision robotic surgery (SIRS) and what advantage does it offer?","Question",{"text":63,"@type":64},"SIRS performs complex operations through a single entry point. Modern robotic systems provide instrument articulation and high-definition visualization through one port.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which robotic systems are highlighted as examples of SIRS technology?",{"text":68,"@type":64},"The letter highlights da Vinci SP and Versius systems, which use wristed instruments and an endoscope through a single incision.",{"name":70,"@type":61,"acceptedAnswer":71},"What evidence is cited regarding safety and outcomes of SIRS?",{"text":72,"@type":64},"The document references studies and a meta-analysis indicating feasibility and safety, with lower conversion rates, minimal postoperative pain, and enhanced cosmesis across specialties.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},439920,1790786946,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":55,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":97,"preview_page_count":4},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Letter to the Editor  \nSingle-incision robotic surgery: the emerging milestone in minimally invasive practice  \nHasibullah Aminpoor, MDa ,*, Muhammad Khizar, MDb , Muhammad Zaib, MDb , Abeer Ijaz, MBBSc , Hasiba Karimi, MDd  \nAbstract  \nSingle-incision robotic surgery (SIRS) has emerged as a progression in minimally invasive practice, enabling complex operations through a single entry point. Modern systems such as the da Vinci SP (Intuitive Surgical, USA) and Versius (CMR Surgical, UK) allow multi-instrument articulation and high-definition visualization through a single port, overcoming the ergonomic and triangulation challenges of traditional laparoscopy. Recent evidence from South Korea, China, the USA, and Turkey demonstrates SIRS’s feasibility, safety, and promising clinical outcomes across specialties including urology, gynecology, and general surgery. Studies report lower conversion rates, minimal postoperative pain, and enhanced cosmesis, though cost and learning curve remain limiting factors. As robotic technologies evolve, SIRS is poised to redefine minimally invasive standards through precision, reduced invasiveness, and improved recovery profiles. Rigorous multicenter trials and cost-effectiveness analyses are essential to confirm its broader clinical value.  \nKeywords: da Vinci SP system, minimally invasive surgery, robotic-assisted surgery, single-incision robotic surgery, single-port surgery, Versius robotic system  \nTo the Editor,  \nSingle-incision robotic surgery (SIRS) represents a major milestone in the evolution and development of minimally invasive techniques. By integrating robotic articulation within a single access point, SIRS provides enhanced dexterity, stable visualization, and improved ergonomics compared to conventional single incision laparoscopy[1] . The da Vinci SP and Versius systems exemplify this innovation, utilizing three wristed instruments and an endoscope through a 25–30 mm incision. Such technological precision facilitates intricate operations with minimal tissue disruption and improved aesthetic outcomes, which can be utilized beyond benefits.  \nRecent global evidence underscores its growing acceptance. In South Korea, robotic single-site cholecystectomy demonstrated excellent safety and ergonomic advantages over conventional single-site laparoscopy[2]. A 2025 meta-analysis from China involving over 75 000 patients reported lower conversion rates and  \naFaculty of Medicine, Kabul University of Medical Sciences “Abu Ali Ibn Sina”, Kabul,  \nAfghanistan, bFaculty of Medicine, Georgian American University, Manifest Medical Research Co, Tbilisi, Georgia, cFaculty of Medicine, SMBBMCL Karachi, Karachi, Pakistan and dFaculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.  \n*Corresponding author. Address: Faculty of Medicine, Kabul University of Medical Sciences “Abu Ali Ibn Sina”, Ata Turk Avenue, Jamal Mena, 3rd District, Kabul 1001, Afghanistan. Tel.: +[93730097097. E-mail: hasibaminpoor786@gmail.com](93730097097. E-mail: hasibaminpoor786@gmail.com)[ ](93730097097. E-mail: hasibaminpoor786@gmail.com)(H. Aminpoor).  \nCopyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4. 0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nAnnals of Medicine & Surgery (2026) 88:1150–1151  \nReceived 20 October 2025; Accepted 3 December 2025  \nPublished online 15 December 2025  \n[http://dx.doi.org/10.1097/MS9.0000000000004603](http://dx.doi.org/10.1097/MS9.0000000000004603)  \nequivalent complication profiles for single-incision robotic cholecystectomy compared with traditional approaches[3]. Similarly, a U.S. study confirmed that single-incision robotic colectomy yields comparable results to multiport","cbCaih6fIkPFZBRe","https://ap.wps.com/l/cbCaih6fIkPFZBRe","pdf",169911,"English","# Abstract\n# Letter to the Editor\n## Background and technological advances\n## Emerging global evidence and clinical outcomes\n## Practical challenges and future directions\n## Ethical approval and consent\n## Funding and contributions","[{\"question\":\"What is single-incision robotic surgery (SIRS) and what advantage does it offer?\",\"answer\":\"SIRS performs complex operations through a single entry point. Modern robotic systems provide instrument articulation and high-definition visualization through one port.\"},{\"question\":\"Which robotic systems are highlighted as examples of SIRS technology?\",\"answer\":\"The letter highlights da Vinci SP and Versius systems, which use wristed instruments and an endoscope through a single incision.\"},{\"question\":\"What evidence is cited regarding safety and outcomes of SIRS?\",\"answer\":\"The document references studies and a meta-analysis indicating feasibility and safety, with lower conversion rates, minimal postoperative pain, and enhanced cosmesis across specialties.\"}]","Single-incision robotic surgery: the emerging milestone in minimally invasive practice - Letter to the Editor | PDF",1790690534]