Single port robot-assisted radical and simple prostatectomy: a systematic review and meta-analysis

Area of Science:

• Urology
• Surgical Oncology
• Robotic Surgery

Background:

• Review of current evidence on single port robot-assisted radical prostatectomy (SP-RARP) and SP robot-assisted simple prostatectomy (SP-RASP).
• Assessment of perioperative, oncological, and functional outcomes for these minimally invasive techniques.

Purpose of the Study:

• To systematically review and meta-analyze evidence comparing SP-RARP with multi-port RARP (MP-RARP).
• To evaluate outcomes of SP-RASP compared to other surgical techniques for benign prostatic hyperplasia.

Main Methods:

• Comprehensive bibliographic search of multiple databases conducted in July 2023.
• Inclusion of prospective and retrospective studies assessing SP-RARP or SP-RASP.
• Meta-analysis performed on comparative studies between SP-RARP and MP-RARP.

Main Results:

• 21 studies with 1400 patients reviewed; 18 on SP-RARP, 3 on SP-RASP.
• SP-RARP demonstrated similar outcomes to MP-RARP in most perioperative, oncological, and functional parameters.
• SP-RASP showed shorter hospital stay and lower incontinence rates compared to other techniques.

Conclusions:

• Single port (SP) robotic surgery achieves comparable oncological, functional, and perioperative outcomes.
• Different SP approaches did not reveal significant outcome variations.
• Limitations include retrospective study designs, limited follow-up, and small sample sizes.