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Single-port Versus Multi-port Robotic-assisted Procedures From the Patient's Perspective: A Retrospective Cohort
Luca A Morgantini1, Matthew Del Pino1, Arthi Bharadwaj1
1Department of Urology, University of Illinois at Chicago, Chicago, Illinois.
Urology Practice
|May 5, 2023
Summary
Patients reported better cosmetic outcomes and scar appearance after single-port (SP) robotic surgery compared to multi-port (Xi) surgery. The SP system offers potential advantages in cosmesis and patient satisfaction.
Area of Science:
- Minimally Invasive Surgery
- Robotic Surgery
- Surgical Outcomes
Background:
- The da Vinci SP system uses a single incision for robotic instruments, differing from prior multi-port platforms.
- Potential benefits include improved cosmesis, reduced pain, and shorter hospital stays.
Purpose of the Study:
- To investigate the impact of the novel single-port (SP) system on cosmetic and psychometric patient assessment.
- To compare patient perceptions of cosmetic outcomes between SP and multi-port (Xi) robotic urological procedures.
Main Methods:
- Retrospective analysis of patients undergoing SP or Xi urological procedures.
- Utilized the Patient Scar Assessment Questionnaire assessing scar appearance, consciousness, and satisfaction.
Main Results:
- SP recipients reported significantly better cosmetic scar appearance (P = .007) and consciousness of their scar (P = .045).
- Higher satisfaction with cosmetic appearance was observed in the SP group (P = .022).
- No significant difference in 'Satisfaction With Symptoms' between SP and Xi groups (P = .88).
Conclusions:
- Patients perceive single-port (SP) robotic surgery more favorably than multi-port (Xi) surgery regarding aesthetic outcomes.
- Ongoing research is exploring the correlation between cosmetic satisfaction and clinical outcomes like hospital stay and pain management.

