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%),
1
and Abaza et al (SP vs MP, 88% vs 55%)
2
showed a higher rates of outpatient radical prostatectomy with the SP approach.To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- 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
- Single-port robotic surgery allows same-day discharge in majority of cases.Urology. 2021; 148: 159-165
- Robotic extraperitoneal radical prostatectomy: an alternative approach.J Urol. 2006; 175 (discussion 51): 945-950
- 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
- Extraperitoneal single-port robot-assisted radical prostatectomy.J Endourol. 2021; 35: S100-S1S5
- Perioperative outcomes of single vs multi-port robotic assisted radical prostatectomy: a single institutional experience.J Urol. 2020; 204: 490-495
- Single port transvesical robotic radical prostatectomy: initial clinical experience and description of technique.Urology. 2021; 155: 130-137
Article info
Publication history
Accepted:
February 13,
2022
Received:
December 2,
2021
Identification
Copyright
© 2022 Published by Elsevier Inc.
