Single port robotic radical prostatectomy: a systematic review.

Area of Science:

• Urology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Single port robot-assisted radical prostatectomy (SP RARP) has faced adoption challenges due to varied technology and techniques.
• The recent da Vinci SP platform approval has revitalized interest in SP RARP.

Purpose of the Study:

• To systematically review and summarize patient outcomes for SP RARP.
• To evaluate the role of SP RARP in prostate cancer treatment.

Main Methods:

• Systematic review following PRISMA guidelines.
• Inclusion of studies on robotic single-port or single-site RARP (2000-2019).
• Exclusion of combined resections, non-clinical studies, and simple prostatectomies.

Main Results:

• 12 studies with data from 145 patients were included.
• Low conversion rate (0.7% to multi-port, 0% to open).
• No intraoperative complications and no Clavien grade III+ postoperative complications reported for initial SP platform cases.

Conclusions:

• SP RARP appears safe and feasible for minimally invasive radical prostatectomy.
• Current literature is limited by small sample sizes and short follow-up.
• Further multi-center trials are needed to validate functional outcomes and long-term survival.