Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomy
Abstract To compare the clinical efficacy of an innovative modified single-incision technique without special extraperitoneal PORT with that of transperitoneal multi-incision robot-assisted laparoscopic radical prostatectomy and to explore the feasibility and safety of the former. A retrospective an...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-01-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-28337-1 |
| _version_ | 1811175863520067584 |
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| author | Shangqing Ren Yong Ou Yaoqian Wang Yi Wei Cheng Luo Bo Yang Jiazheng Yuan Qian Lv Fang Zhou Zhengjun Chen Yu Nie Jie Lin Yilei Wu Bo Yang Shida Fan Dong Wang |
| author_facet | Shangqing Ren Yong Ou Yaoqian Wang Yi Wei Cheng Luo Bo Yang Jiazheng Yuan Qian Lv Fang Zhou Zhengjun Chen Yu Nie Jie Lin Yilei Wu Bo Yang Shida Fan Dong Wang |
| author_sort | Shangqing Ren |
| collection | DOAJ |
| description | Abstract To compare the clinical efficacy of an innovative modified single-incision technique without special extraperitoneal PORT with that of transperitoneal multi-incision robot-assisted laparoscopic radical prostatectomy and to explore the feasibility and safety of the former. A retrospective analysis was performed on 259 patients who received robot-assisted laparoscopic radical prostatectomy in the Robot Minimally Invasive Center of Sichuan Provincial People's Hospital between September 2018 and August 2021. Among them were 147 cases involving extraperitoneal single incision with no special PORT (Group A) and 112 cases involving multiple incisions by the transperitoneal method (Group B). Differences in age, PSA level, Gleason score, prostate volume, body mass index, clinical stage, lower abdominal operation history, and lymph node dissection ratio between the two groups were not statistically significant (P > 0.05). All operations were performed by the same operator. In this study, all 259 operations were completed successfully, and there was no conversion. There was no significant difference in transperitoneal blood loss, postoperative hospital stay, positive rate of incision margin, indwelling time of urinary catheter, satisfaction rate of immediate urine control, satisfaction rate of urine control 3 months after operation, positive rate of postoperative lymph node pathology or postoperative pathological stage between the two groups (P > 0.05). There were significant differences in operation time, postoperative exhaust time and incision length (P < 0.05). The modified extraperitoneal nonspecial PORT single-incision technique is safe and feasible for robot-assisted laparoscopic radical prostatectomy, and its curative effect is similar to that of transperitoneal multi-incision RARP. It has the advantages of a short operation time, less impact on the gastrointestinal tract and a more beautiful incision. The long-term effect of treatment needs to be further confirmed by prospective studies. |
| first_indexed | 2024-04-10T19:42:46Z |
| format | Article |
| id | doaj.art-23498e6f8fd34e9589d3c7e9728ff504 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-10T19:42:46Z |
| publishDate | 2023-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-23498e6f8fd34e9589d3c7e9728ff5042023-01-29T12:12:38ZengNature PortfolioScientific Reports2045-23222023-01-011311810.1038/s41598-023-28337-1Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomyShangqing Ren0Yong Ou1Yaoqian Wang2Yi Wei3Cheng Luo4Bo Yang5Jiazheng Yuan6Qian Lv7Fang Zhou8Zhengjun Chen9Yu Nie10Jie Lin11Yilei Wu12Bo Yang13Shida Fan14Dong Wang15Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaSchool of Computer Science and Engineering, University of Electronic Science and Technology of ChinaDepartment of Medical Records Statistics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of ChinaDepartment of Paediatric Surgery, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s HospitalDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaDepartment of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of ChinaAbstract To compare the clinical efficacy of an innovative modified single-incision technique without special extraperitoneal PORT with that of transperitoneal multi-incision robot-assisted laparoscopic radical prostatectomy and to explore the feasibility and safety of the former. A retrospective analysis was performed on 259 patients who received robot-assisted laparoscopic radical prostatectomy in the Robot Minimally Invasive Center of Sichuan Provincial People's Hospital between September 2018 and August 2021. Among them were 147 cases involving extraperitoneal single incision with no special PORT (Group A) and 112 cases involving multiple incisions by the transperitoneal method (Group B). Differences in age, PSA level, Gleason score, prostate volume, body mass index, clinical stage, lower abdominal operation history, and lymph node dissection ratio between the two groups were not statistically significant (P > 0.05). All operations were performed by the same operator. In this study, all 259 operations were completed successfully, and there was no conversion. There was no significant difference in transperitoneal blood loss, postoperative hospital stay, positive rate of incision margin, indwelling time of urinary catheter, satisfaction rate of immediate urine control, satisfaction rate of urine control 3 months after operation, positive rate of postoperative lymph node pathology or postoperative pathological stage between the two groups (P > 0.05). There were significant differences in operation time, postoperative exhaust time and incision length (P < 0.05). The modified extraperitoneal nonspecial PORT single-incision technique is safe and feasible for robot-assisted laparoscopic radical prostatectomy, and its curative effect is similar to that of transperitoneal multi-incision RARP. It has the advantages of a short operation time, less impact on the gastrointestinal tract and a more beautiful incision. The long-term effect of treatment needs to be further confirmed by prospective studies.https://doi.org/10.1038/s41598-023-28337-1 |
| spellingShingle | Shangqing Ren Yong Ou Yaoqian Wang Yi Wei Cheng Luo Bo Yang Jiazheng Yuan Qian Lv Fang Zhou Zhengjun Chen Yu Nie Jie Lin Yilei Wu Bo Yang Shida Fan Dong Wang Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomy Scientific Reports |
| title | Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomy |
| title_full | Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomy |
| title_fullStr | Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomy |
| title_full_unstemmed | Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomy |
| title_short | Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomy |
| title_sort | preliminary comparison of the modified extraperitoneal free port single incision technique and transabdominal multi incision robot assisted laparoscopic radical prostatectomy |
| url | https://doi.org/10.1038/s41598-023-28337-1 |
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