Single-Port Robot-Assisted Radical Prostatectomy: Where Do We Stand?

In 2018, the da Vinci Single Port (SP) robotic system was approved by the US Food and Drug Administration for urologic procedures. Available studies for the application of SP to prostate cancer surgery are limited. The aim of our study is to summarize the current evidence on the techniques and outco...

Full description

Bibliographic Details
Main Authors: Antonio Franco, Antony A. Pellegrino, Cosimo De Nunzio, Morgan Salkowski, Jamal C. Jackson, Lucas B. Zukowski, Enrico Checcucci, Srinivas Vourganti, Alexander K. Chow, Francesco Porpiglia, Jihad Kaouk, Simone Crivellaro, Riccardo Autorino
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/30/4/328
_version_ 1827745366300164096
author Antonio Franco
Antony A. Pellegrino
Cosimo De Nunzio
Morgan Salkowski
Jamal C. Jackson
Lucas B. Zukowski
Enrico Checcucci
Srinivas Vourganti
Alexander K. Chow
Francesco Porpiglia
Jihad Kaouk
Simone Crivellaro
Riccardo Autorino
author_facet Antonio Franco
Antony A. Pellegrino
Cosimo De Nunzio
Morgan Salkowski
Jamal C. Jackson
Lucas B. Zukowski
Enrico Checcucci
Srinivas Vourganti
Alexander K. Chow
Francesco Porpiglia
Jihad Kaouk
Simone Crivellaro
Riccardo Autorino
author_sort Antonio Franco
collection DOAJ
description In 2018, the da Vinci Single Port (SP) robotic system was approved by the US Food and Drug Administration for urologic procedures. Available studies for the application of SP to prostate cancer surgery are limited. The aim of our study is to summarize the current evidence on the techniques and outcomes of SP robot-assisted radical prostatectomy (SP-RARLP) procedures. A narrative review of the literature was performed in January 2023. Preliminary results suggest that SP-RALP is safe and feasible, and it can offer comparable outcomes to the standard multiport RALP. Extraperitoneal and transvesical SP-RALP appear to be the two most promising approaches, as they offer decreased invasiveness, potentially shorter length of stay, and better pain control. Long-term, high-quality data are missing and further validation with prospective studies across different sites is required.
first_indexed 2024-03-11T05:06:05Z
format Article
id doaj.art-6ab9a4537afe4e529134921c0e654304
institution Directory Open Access Journal
issn 1198-0052
1718-7729
language English
last_indexed 2024-03-11T05:06:05Z
publishDate 2023-04-01
publisher MDPI AG
record_format Article
series Current Oncology
spelling doaj.art-6ab9a4537afe4e529134921c0e6543042023-11-17T18:53:13ZengMDPI AGCurrent Oncology1198-00521718-77292023-04-013044301431010.3390/curroncol30040328Single-Port Robot-Assisted Radical Prostatectomy: Where Do We Stand?Antonio Franco0Antony A. Pellegrino1Cosimo De Nunzio2Morgan Salkowski3Jamal C. Jackson4Lucas B. Zukowski5Enrico Checcucci6Srinivas Vourganti7Alexander K. Chow8Francesco Porpiglia9Jihad Kaouk10Simone Crivellaro11Riccardo Autorino12Department of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, University of Illinois at Chicago, Chicago, IL 60612, USADepartment of Urology, Sant’Andrea Hospital, La Sapienza University, 00189 Rome, ItalyDepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Surgery, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, 10060 Turin, ItalyDepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADivision of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, 10043 Turin, ItalyDepartment of Urology, Cleveland Clinic, Cleveland, OH 44106, USADepartment of Urology, University of Illinois at Chicago, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USAIn 2018, the da Vinci Single Port (SP) robotic system was approved by the US Food and Drug Administration for urologic procedures. Available studies for the application of SP to prostate cancer surgery are limited. The aim of our study is to summarize the current evidence on the techniques and outcomes of SP robot-assisted radical prostatectomy (SP-RARLP) procedures. A narrative review of the literature was performed in January 2023. Preliminary results suggest that SP-RALP is safe and feasible, and it can offer comparable outcomes to the standard multiport RALP. Extraperitoneal and transvesical SP-RALP appear to be the two most promising approaches, as they offer decreased invasiveness, potentially shorter length of stay, and better pain control. Long-term, high-quality data are missing and further validation with prospective studies across different sites is required.https://www.mdpi.com/1718-7729/30/4/328single portradical prostatectomyrobotic surgeryextraperitoneal
spellingShingle Antonio Franco
Antony A. Pellegrino
Cosimo De Nunzio
Morgan Salkowski
Jamal C. Jackson
Lucas B. Zukowski
Enrico Checcucci
Srinivas Vourganti
Alexander K. Chow
Francesco Porpiglia
Jihad Kaouk
Simone Crivellaro
Riccardo Autorino
Single-Port Robot-Assisted Radical Prostatectomy: Where Do We Stand?
Current Oncology
single port
radical prostatectomy
robotic surgery
extraperitoneal
title Single-Port Robot-Assisted Radical Prostatectomy: Where Do We Stand?
title_full Single-Port Robot-Assisted Radical Prostatectomy: Where Do We Stand?
title_fullStr Single-Port Robot-Assisted Radical Prostatectomy: Where Do We Stand?
title_full_unstemmed Single-Port Robot-Assisted Radical Prostatectomy: Where Do We Stand?
title_short Single-Port Robot-Assisted Radical Prostatectomy: Where Do We Stand?
title_sort single port robot assisted radical prostatectomy where do we stand
topic single port
radical prostatectomy
robotic surgery
extraperitoneal
url https://www.mdpi.com/1718-7729/30/4/328
work_keys_str_mv AT antoniofranco singleportrobotassistedradicalprostatectomywheredowestand
AT antonyapellegrino singleportrobotassistedradicalprostatectomywheredowestand
AT cosimodenunzio singleportrobotassistedradicalprostatectomywheredowestand
AT morgansalkowski singleportrobotassistedradicalprostatectomywheredowestand
AT jamalcjackson singleportrobotassistedradicalprostatectomywheredowestand
AT lucasbzukowski singleportrobotassistedradicalprostatectomywheredowestand
AT enricocheccucci singleportrobotassistedradicalprostatectomywheredowestand
AT srinivasvourganti singleportrobotassistedradicalprostatectomywheredowestand
AT alexanderkchow singleportrobotassistedradicalprostatectomywheredowestand
AT francescoporpiglia singleportrobotassistedradicalprostatectomywheredowestand
AT jihadkaouk singleportrobotassistedradicalprostatectomywheredowestand
AT simonecrivellaro singleportrobotassistedradicalprostatectomywheredowestand
AT riccardoautorino singleportrobotassistedradicalprostatectomywheredowestand