Da Vinci SP radical prostatectomy: a multicentric collaboration and step-by-step techniques

Area of Science:

• Urology
• Surgical Technology
• Robotics

Background:

• The da Vinci SP system, approved in 2018, offers new possibilities for robotic-assisted radical prostatectomy (RARP).
• Despite its potential, adoption has been limited due to its recent market release.
• This video compilation presents a consensus on current da Vinci SP radical prostatectomy (SP-RARP) techniques from referral centers.

Discussion:

• Five distinct SP-RARP approaches are illustrated: transperitoneal, extraperitoneal, Retzius-sparing, transvesical, and transperineal.
• Key surgical steps, from trocar placement to anastomosis, are demonstrated for each technique.
• Techniques emphasize anatomical principles to minimize positive margins, enhance oncological outcomes, and improve functional recovery.

Key Insights:

• SP-RARP is demonstrated as a feasible and safe procedure with excellent perioperative results.
• No intraoperative or postoperative complications were reported in the presented cases.
• Patients experienced effective pain management without narcotics and were discharged within 16 hours.

Outlook:

• The technical details provided are vital for institutions beginning SP-RARP.
• This multicenter collaboration aims to facilitate the broader implementation of SP-RARP.
• Further adoption of SP technology is expected as more centers gain experience.