Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study
ObjectiveRobot-assisted radical prostatectomy (RARP) is a dynamically evolving technique with its new evolution of single-site RARP. Here we sought to describe our extraperitoneal technique, named the single-site multiport RARP (ssmpRARP) using the da Vinci Si® platform and compare it with the trans...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-09-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.960605/full |
| _version_ | 1811206217742155776 |
|---|---|
| author | Weibin Hou Bingzhi Wang Lei Zhou Lan Li Chao Li Peng Yuan Wei Ouyang Hanyu Yao Jin Huang Kun Yao Long Wang |
| author_facet | Weibin Hou Bingzhi Wang Lei Zhou Lan Li Chao Li Peng Yuan Wei Ouyang Hanyu Yao Jin Huang Kun Yao Long Wang |
| author_sort | Weibin Hou |
| collection | DOAJ |
| description | ObjectiveRobot-assisted radical prostatectomy (RARP) is a dynamically evolving technique with its new evolution of single-site RARP. Here we sought to describe our extraperitoneal technique, named the single-site multiport RARP (ssmpRARP) using the da Vinci Si® platform and compare it with the transperitoneal conventional multiport RARP (cmpRARP).Materials and MethodsData were retrospectively collected for patients who underwent RARP for localized prostate cancer from June 2020 to January 2022 in a single center. Propensity score matching was performed based on age, prostate size, body mass index, neoadjuvant hormonal therapy usage, prostate-specific antigen levels, and clinical T stage. The differences between the matched two groups were investigated.ResultsOf the patients, 20 underwent ssmpRARP and 42 underwent cmpRARP during the period. After matching, 18 patients from each group were selected. Median follow-up was 7.8 months (2–12 months) for the ssmpRARP group, and 15.0 months (3–26 months) for cmpRARP. The demographic features between the two groups were comparable. The median total operative time, estimated blood loss, pathologic data, early follow-up outcomes, and hospitalization stays and costs were similar between the two groups. The ssmpRARP group tended to return to their bowel activities earlier (44.78 ± 10.83 h vs. 54.89 ± 12.97 h, p = 0.016). There were no significant differences in complication rates.ConclusionsWe demonstrated the feasibility and safety of performing extraperitoneal ssmpRARP using the da Vinci Si® robotic platform. Our technique showed comparable short-term outcomes with the transperitoneal cmpRARP. Prospective trials and long-term follow-up are necessary to confirm these results. |
| first_indexed | 2024-04-12T03:44:02Z |
| format | Article |
| id | doaj.art-44f27b9eadcf4fab95b9099c05584449 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-12T03:44:02Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-44f27b9eadcf4fab95b9099c055844492022-12-22T03:49:11ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-09-01910.3389/fsurg.2022.960605960605Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative studyWeibin Hou0Bingzhi Wang1Lei Zhou2Lan Li3Chao Li4Peng Yuan5Wei Ouyang6Hanyu Yao7Jin Huang8Kun Yao9Long Wang10Department of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Urology, Ningxiang Hospital Affiliated to Hunan University of Traditional Chinese Medicine, Changsha, ChinaDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Urology, the Third Xiangya Hospital, Central South University, Changsha, ChinaObjectiveRobot-assisted radical prostatectomy (RARP) is a dynamically evolving technique with its new evolution of single-site RARP. Here we sought to describe our extraperitoneal technique, named the single-site multiport RARP (ssmpRARP) using the da Vinci Si® platform and compare it with the transperitoneal conventional multiport RARP (cmpRARP).Materials and MethodsData were retrospectively collected for patients who underwent RARP for localized prostate cancer from June 2020 to January 2022 in a single center. Propensity score matching was performed based on age, prostate size, body mass index, neoadjuvant hormonal therapy usage, prostate-specific antigen levels, and clinical T stage. The differences between the matched two groups were investigated.ResultsOf the patients, 20 underwent ssmpRARP and 42 underwent cmpRARP during the period. After matching, 18 patients from each group were selected. Median follow-up was 7.8 months (2–12 months) for the ssmpRARP group, and 15.0 months (3–26 months) for cmpRARP. The demographic features between the two groups were comparable. The median total operative time, estimated blood loss, pathologic data, early follow-up outcomes, and hospitalization stays and costs were similar between the two groups. The ssmpRARP group tended to return to their bowel activities earlier (44.78 ± 10.83 h vs. 54.89 ± 12.97 h, p = 0.016). There were no significant differences in complication rates.ConclusionsWe demonstrated the feasibility and safety of performing extraperitoneal ssmpRARP using the da Vinci Si® robotic platform. Our technique showed comparable short-term outcomes with the transperitoneal cmpRARP. Prospective trials and long-term follow-up are necessary to confirm these results.https://www.frontiersin.org/articles/10.3389/fsurg.2022.960605/fullrobotic-assisted radical prostatectomysingle-site surgeryprostate cancersame day dischargeextraperitoneal approach |
| spellingShingle | Weibin Hou Bingzhi Wang Lei Zhou Lan Li Chao Li Peng Yuan Wei Ouyang Hanyu Yao Jin Huang Kun Yao Long Wang Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study Frontiers in Surgery robotic-assisted radical prostatectomy single-site surgery prostate cancer same day discharge extraperitoneal approach |
| title | Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study |
| title_full | Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study |
| title_fullStr | Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study |
| title_full_unstemmed | Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study |
| title_short | Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study |
| title_sort | single site multiport vs conventional multiport robot assisted radical prostatectomy a propensity score matching comparative study |
| topic | robotic-assisted radical prostatectomy single-site surgery prostate cancer same day discharge extraperitoneal approach |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.960605/full |
| work_keys_str_mv | AT weibinhou singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT bingzhiwang singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT leizhou singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT lanli singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT chaoli singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT pengyuan singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT weiouyang singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT hanyuyao singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT jinhuang singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT kunyao singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy AT longwang singlesitemultiportvsconventionalmultiportrobotassistedradicalprostatectomyapropensityscorematchingcomparativestudy |