Single-port transperitoneal robotic-assisted laparoscopic radical prostatectomy (spRALP): Initial experience

Area of Science:

• Urology
• Surgical Oncology
• Robotic Surgery

Background:

• Prostate cancer management often involves radical prostatectomy.
• Robotic-assisted laparoscopic radical prostatectomy (RALP) offers minimally invasive advantages.
• Single-port techniques aim to further reduce invasiveness.

Purpose of the Study:

• To evaluate the feasibility and surgical technique of single-port transperitoneal robotic-assisted laparoscopic radical prostatectomy (spRALP).

Main Methods:

• A case study of a 60-year-old male with organ-confined prostate cancer.
• spRALP performed using the da Vinci Si HD surgical system via a single supraumbilical port.
• Procedure followed standard RALP principles with modifications for single-port access.

Main Results:

• Successful spRALP completed in 152 minutes with 100 mL blood loss.
• Patient discharged on postoperative Day 4; Foley catheter removed on Day 14.
• No major complications; postoperative pathology confirmed organ-confined disease with negative margins.

Conclusions:

• Single-port robotic prostatectomy is feasible with current robotic technology in Chinese urological centers.
• Careful patient selection and preoperative planning are crucial for successful outcomes.
• Further comparative studies on perioperative complications and pentafecta outcomes are warranted.