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Updated: Jun 8, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
SILS extraperitoneal radical prostatectomy
V Ferrara1, W Giannubilo, B Azizi
1Unit of Urology, Jesi Hospital, Jesi, Ancona, Italy.
Aim:
This paper presents the surgical technique for video-laparoscopic extraperitoneal radical prostatectomy carried out through a single incision of 2.5 cm below the navel.
Methods:
The technique involves the placement of a port of a new concept, the SILS-port, which has three channels through which you can insert instruments and camera. The study results were evaluated from the surgical, oncological and functional point of view. Ten patients undergoing prostatectomy were compared with the last 10 patients treated at our facilities with increasingly radical prostatectomy video-laparoscopic extraperitoneal, defined "conventional".
Results:
There were no substantial differences between the two techniques, except for a modest lengthening of the operative time, at least initially.
Conclusion:
The results achieved with the adoption of this technique have shown its feasibility, security and undoubted advantages in terms of mini-invasiveness.
