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Robot-Assisted Extraperitoneal Radical Prostatectomy, Single Site Plus Two Model.

Ing-Shiang Lo1, Hsiang-Ying Lee2,3, Yii-Her Chou1,4

  • 11 Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University , Kaohsiung, Taiwan .

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|November 2, 2017
PubMed
Summary
This summary is machine-generated.

Robot-assisted extraperitoneal radical prostatectomy using a single-site plus two-port model is a feasible and safe minimally invasive option. This technique overcomes limitations of traditional single-port surgery and can be used in patients with prior abdominal surgery.

Keywords:
radical prostatectomyrobotic systemsingle port

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Traditional single-port laparoscopic surgery has limitations.
  • Robot-assisted surgery offers potential advantages in complex procedures.

Purpose of the Study:

  • To demonstrate a feasible robot-assisted extraperitoneal radical prostatectomy using a single-site plus two-port model.
  • To overcome limitations of traditional single-port laparoscopic surgery.

Main Methods:

  • Analysis of consecutive robot-assisted extraperitoneal radical prostatectomy single-site plus two-port cases (November 2015 - April 2016).
  • Evaluation of surgical and continence outcomes.

Main Results:

  • Twenty cases were successfully completed without conversion to open or standard laparoscopic surgery.
  • Positive margins occurred in 40% of cases, primarily at the apex.
  • Continence recovery varied, with most patients improving over several months. No major complications were recorded.

Conclusions:

  • Robot-assisted extraperitoneal radical prostatectomy single-site plus two-port is technically feasible and safe.
  • This approach is suitable for patients with prior intraperitoneal surgery.
  • Consideration for this procedure as a minimally invasive surgical option is warranted.