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Initial experience with the new da Vinci single-port robot-assisted platform.
R Ballestero Diego1, S Zubillaga Guerrero1, D Truan Cacho1
1Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España.
Actas Urologicas Espanolas
|December 14, 2016
Summary
Robot-assisted LESS (R-LESS) urological surgeries using the da Vinci platform are feasible and safe in initial cases. Further development of R-LESS platforms is needed to overcome current limitations.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Single-port robot-assisted surgery (R-LESS) is an emerging technique.
- The da Vinci platform offers potential for R-LESS procedures.
Purpose of the Study:
- To evaluate the feasibility and safety of the da Vinci single-port robot-assisted platform in urological surgeries.
- To report initial outcomes and complications of R-LESS procedures.
Main Methods:
- Five R-LESS urological surgeries were performed between May and October 2014.
- Procedures included ureteral reimplantation, ureteropyeloplasty, and partial nephrectomy.
- Perioperative and postoperative outcomes, including complications (Clavien classification), were recorded.
Main Results:
- Four out of five procedures were completed successfully using R-LESS.
- One procedure required conversion to multiport robot-assisted surgery.
- No intraoperative complications occurred; 4 patients experienced mild (Grade 1 or 2) perioperative complications.
- Mean surgical time was 262 minutes.
Conclusions:
- Initial experience suggests R-LESS urological surgery with the da Vinci platform is feasible and safe.
- Limitations exist, highlighting the need for improved R-LESS platforms.
