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      Harrison et al. performed a comparative analysis of single-port (SP) extraperitoneal and traditional multi-port (MP) transperitoneal robotic radical prostatectomy (RP). They reported no oncological compromise, since the positive margin rate was comparable (17.3% vs 26.5%, P = .3833). Authors demonstrated that the single incision and the extraperitoneal access resulted in decreased postoperative opioid use (2 vs 7 morphine milligram equivalent, P = .0008) and enhanced recovery following radical prostatectomy. This is crucial as improved recovery allows us to perform RP in outpatient setting. Although the authors did not prove granular data regarding length of stay, Lenfant et al (SP vs MP, 67% vs. 7.3%),
      • Lenfant L
      • Sawczyn G
      • Aminsharifi A
      • et al.
      Pure single-site robot-assisted radical prostatectomy using single-port versus multiport robotic radical prostatectomy: A single-institution comparative study.
      and Abaza et al (SP vs MP, 88% vs 55%)
      • Abaza R
      • Murphy C
      • Bsatee A
      • Brown Jr., DH
      • Martinez O
      Single-port robotic surgery allows same-day discharge in majority of cases.
      showed a higher rates of outpatient radical prostatectomy with the SP approach.
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      References

        • Lenfant L
        • Sawczyn G
        • Aminsharifi A
        • et al.
        Pure single-site robot-assisted radical prostatectomy using single-port versus multiport robotic radical prostatectomy: A single-institution comparative study.
        Eur Urol Focus. 2021; 7: 964-972
        • Abaza R
        • Murphy C
        • Bsatee A
        • Brown Jr., DH
        • Martinez O
        Single-port robotic surgery allows same-day discharge in majority of cases.
        Urology. 2021; 148: 159-165
        • Joseph JV
        • Rosenbaum R
        • Madeb R
        • Erturk E
        • Patel HR.
        Robotic extraperitoneal radical prostatectomy: an alternative approach.
        J Urol. 2006; 175 (discussion 51): 945-950
        • Lenfant L
        • Kim S
        • Aminsharifi A
        • Sawczyn G
        • Kaouk J.
        Floating docking technique: a simple modification to improve the working space of the instruments during single-port robotic surgery.
        World J Urol. 2021; 39: 1299-1305
        • Khalil MI
        • Joseph JV.
        Extraperitoneal single-port robot-assisted radical prostatectomy.
        J Endourol. 2021; 35: S100-S1S5
        • Saidian A
        • Fang AM
        • Hakim O
        • Magi-Galluzzi C
        • Nix JW
        • Rais-Bahrami S.
        Perioperative outcomes of single vs multi-port robotic assisted radical prostatectomy: a single institutional experience.
        J Urol. 2020; 204: 490-495
        • Kaouk J
        • Beksac AT
        • Abou Zeinab M
        • Duncan A
        • Schwen ZR
        • Eltemamy M
        Single port transvesical robotic radical prostatectomy: initial clinical experience and description of technique.
        Urology. 2021; 155: 130-137