Recent advances in single-site/incision robotic-assisted radical prostatectomy

Area of Science:

• Urology
• Surgical Oncology
• Robotic Surgery

Background:

• Single-site robotic-assisted radical prostatectomy (ssRARP) is an established treatment for prostate cancer.
• Ongoing advancements aim to refine ssRARP techniques and platforms.

Purpose of the Study:

• To review recent progress in surgical approaches, working accesses, and robotic platforms for ssRARP.
• To evaluate the clinical outcomes and potential of novel ssRARP technologies.

Main Methods:

• A systematic literature search was conducted across major scientific databases (PubMed, EMBASE, Web of Science, Scopus).
• The search focused on studies published between 2008 and 2023 related to ssRARP.

Main Results:

• 48 relevant studies were identified globally.
• Modifications in surgical approaches, working accesses, and robotic platforms have been developed since ssRARP's introduction.
• ssRARP utilizing the da Vinci SP platform demonstrated significant clinical advantages.

Conclusions:

• The da Vinci SP platform is emerging as a preferred option for ssRARP due to benefits like reduced blood loss, pain, and faster recovery.
• Further research is needed to validate these findings, improve cost-effectiveness, and ensure widespread adoption.