Single plus one port robotic radical prostatectomy (SPORP); Initial experience

Area of Science:

• Urology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Early-stage prostate cancer requires effective treatment options.
• Robotic radical prostatectomy offers minimally invasive approaches.
• Single plus one port robotic radical prostatectomy (SPORP) is an emerging technique.

Purpose of the Study:

• To evaluate the feasibility and outcomes of SPORP in patients with early-stage prostate cancer.
• To assess intraoperative and postoperative complications, blood loss, and functional results.

Main Methods:

• SPORP was performed in 8 patients with localized prostate cancer.
• Data collected included patient age, clinical stage, operation time, complications, blood loss, histopathology, PSA levels, and continence.
• Follow-up ranged from 4 to 12 months.

Main Results:

• All 8 SPORP procedures were completed successfully without conversion to open surgery.
• Mean operating time was 143 minutes with minimal blood loss (45 ml).
• Excellent postoperative continence and cosmetic results were observed; no positive surgical margins; PSA levels < 0.2 ng/ml.

Conclusions:

• SPORP is a relatively easy technique for experienced robotic surgeons.
• Short-term outcomes for SPORP in early prostate cancer are promising.
• Long-term results of SPORP require further investigation.