Abstract:Assessment of para-aortic lymph nodes and surgical resection are critical for accurate staging, reducing tumor burden, and guiding subsequent therapy in gynecological cancers. Robotic laparoendoscopic single-port surgery is designed to maximize the benefits of minimally invasive approaches, leveraging 3-dimensional high-definition visualization, flexible and wristed instruments, tremor filtration, and ergonomic design to overcome the technical limitations of conventional single-port surgery. This approach not only minimizes trauma, accelerates recovery, and reduces complication risks, but also shortens the learning curve, improves safety, increases precision, and enhances the thoroughness of procedures. It offers promising clinical potential and technical advantages for para-aortic lymphadenectomy. This article systematically reviews the surgical indications and elaborates on the advantages and key technical aspects of robotic laparoendoscopic single-port para-aortic lymphadenectomy for gynecological cancers, aiming to provide evidence-based guidance for clinical practice.