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Single port robot-assisted pyeloplasty: An early comparative outcomes analysis.
Francesco Ditonno1,2, Antonio Franco1,3, Celeste Manfredi1,4
1Department of Urology, Rush University Medical Center, Chicago, Illinois, USA.
Summary
Single Port (SP) robot-assisted pyeloplasty (RAP) offers comparable outcomes to Multi Port (MP) RAP for ureteropelvic junction obstruction (UPJO). This minimally invasive approach shows potential clinical advantages without compromising patient results.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Ureteropelvic junction obstruction (UPJO) treatment increasingly favors minimally invasive pyeloplasty.
- Robot-assisted pyeloplasty (RAP) represents a key advancement in minimally invasive UPJO management.
Purpose of the Study:
- To compare the outcomes of Single Port (SP) RAP versus Multi Port (MP) RAP for UPJO.
- To evaluate the feasibility and efficacy of SP RAP in clinical practice.
Main Methods:
- Retrospective analysis of consecutive patients undergoing SP RAP or MP RAP from January 2021 to September 2023.
- Co-primary outcomes included length of stay (LOS), pain scores (DVPRS), and narcotic dosage.
- Robotic system choice was based on surgeon preference and platform availability.
Main Results:
- 10 SP RAPs and 12 MP RAPs were performed.
- SP RAP patients were significantly younger than MP RAP patients (median 23 vs. 42 years, p < 0.01).
- No significant differences were observed in operative time, LOS, pain scores, or narcotic dose between SP RAP and MP RAP.
Conclusions:
- Single Port robot-assisted pyeloplasty is a viable alternative to Multi Port robot-assisted pyeloplasty.
- SP RAP can be performed without compromising surgical outcomes.
- SP RAP may offer potential clinical advantages in the management of UPJO.
