Initial Experience with da Vinci Single-port Robot-assisted Radical Prostatectomies

Area of Science:

• Urology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Single-port robotic surgery adoption is increasing for various procedures.
• Interest in single-port robot-assisted radical prostatectomy (spRARP) is growing, but data on feasibility and outcomes are limited.

Purpose of the Study:

• To report the initial institutional experience with spRARP using the da Vinci SP robotic system.
• To evaluate the safety and feasibility of spRARP in a clinical setting.

Main Methods:

• Retrospective review of 49 patients undergoing spRARP by three high-volume robotic prostate surgeons.
• Data collected included patient demographics, operative time, blood loss, complications, hospital stay, and catheter duration.
• Procedures followed traditional retropubic or Retzius-sparing approaches.

Main Results:

• Median operative time was 161 minutes, with all surgeons achieving <200 minutes by their third case.
• Median blood loss was 200ml, with a 8.1% complication rate (4 Clavien 2 complications).
• Median hospital stay was 1 day and median catheter duration was 7 days.

Conclusions:

• spRARP using the da Vinci SP system is safe and feasible with acceptable early outcomes.
• Further research is required to establish noninferiority to multi-port systems and evaluate patient-reported cosmesis and pain.