2025 Volume 38 Issue 1 Pages 117-121
With the progress and widespread adoption of robotic surgical systems, the indications for robot-assisted surgery have expanded, becoming a widely accepted standard treatment. The da Vinci SP Surgical System, received regulatory approval in Japan in January 2023, is the first single-port surgical systems. The most important feature of da Vinci SP is that it enables Regionalized surgery. In the field of urology, which treats retroperitoneal organs, the transperitoneal approach is no longer necessary, and a new approach method has become available. In SP-RARP, the retroperitoneal approach has become the standard surgical procedure, and a further minimally invasive transvesical approach is also available as an option. Similarly, in SP-RAPN, the retroperitoneal approach through the lower abdomen has become the standard technique, enabling a supine position approach that eliminates the need for patient repositioning. The introduction of the SP system and the capability of Regionalized Surgery have significantly broadened the range of surgical approaches. By selecting appropriate patients, the SP system facilitates the provision of less invasive and more cosmetically superior treatments.