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Pure single‐port retzius‐sparing robot‐assisted radical prostatectomy with the da Vinci SP: Initial experience and technique description
Objective To assess the feasibility and safety of pure single‐port (SP) retzius‐sparing robot‐assisted radical prostatectomy (RARP) using the da Vinci SP and describe the technique. Materials and Methods From August 2020 to November 2020, data of 10 consecutive patients with localized prostate cance...
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| Published in: | BJUI compass 2022-05, Vol.3 (3), p.251-256 |
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| creator | Koukourikis, Periklis Alqahtani, Ali Abdullah Han, Woong Kyu Rha, Koon Ho |
| description | Objective
To assess the feasibility and safety of pure single‐port (SP) retzius‐sparing robot‐assisted radical prostatectomy (RARP) using the da Vinci SP and describe the technique.
Materials and Methods
From August 2020 to November 2020, data of 10 consecutive patients with localized prostate cancer, who underwent SP retzius‐sparing RARP, were prospectively collected. Patients demographics, intraoperative variables, postoperative complications, early oncological, and functional outcomes were assessed.
Results
The patients were aged 46–73 years with a body mass index between 20.3 and 27.4 kg/m2. Prostate volumes ranged from 15 to 47.2 ml, with a median (interquartile range, IQR) PSA level of 7.4 (6.2–9.1) ng/ml. All surgeries were successfully completed without conversion. The median (IQR) operative and console time were 106 (101–109) min and 65 (63–68) min, respectively. The median (IQR) blood loss was 125 (50–150) ml, and one Clavien–Dindo grade I complication occurred. At 3 months, nine patients had undetectable PSA levels and all patients were continent.
Conclusions
Pure SP retzius‐sparing RARP could be safely performed using the da Vinci SP system, with acceptable surgical times and minimal complications. Future research will evaluate the advantages of this technique over the standard multiport robotic surgery. |
| doi_str_mv | 10.1002/bco2.131 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_276a1f55a91c424e85dfb0487c64189d</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_276a1f55a91c424e85dfb0487c64189d</doaj_id><sourcerecordid>2658644768</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5041-348c49b597ef817795abb5b2e37ba86cf70eaa3b2ea3fbf807496980e35387ba3</originalsourceid><addsrcrecordid>eNp1kt1qFDEUgAdRbKkFn0AC3nizNb-TjBeCLlYXCi34cxsymTO7WWaTMclYt1c-gfiMPolZt9ZW8Co553z5OJycqnpM8AnBmD5vbaAnhJF71SGtlZpxQev7t-4H1XFKa1xQRphk-GF1wARvKKX8sPp-MUVAyfnlAD-__RhDzChCvnJTKmEaTSwlFEMbcolNSi5l6FA0nbNmQGMMKZsMNofNFl26vEJ5Bagz6JPz1qH3Fy_QwrvsCgtfR4gOvAVkfIfKo5V3n6dCQ7LRjdkF_6h60JshwfH1eVR9PH3zYf5udnb-djF_dTazAnMyY1xZ3rSikdArImUjTNuKlgKTrVG17SUGY1hJGNa3vcKSN3WjMDDBVEHYUbXYe7tg1nqMbmPiVgfj9O9EiEttYnZ2AE1lbUgvhGmI5ZSDEl3fYq6krTlRTVdcL_eucWo30FnwOZrhjvRuxbuVXoYvusFcCEWL4Nm1IIYyj5T1xiULw2A8hClpWgtVcy5rVdCn_6DrMEVfRqWparCkShD5V2jL96QI_U0zBOvdzujdzuiyMwV9crv5G_DPhhRgtgcu3QDb_4r06_k53Ql_AWWS0CI</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2890728517</pqid></control><display><type>article</type><title>Pure single‐port retzius‐sparing robot‐assisted radical prostatectomy with the da Vinci SP: Initial experience and technique description</title><source>Open Access: Wiley-Blackwell Open Access Journals</source><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Koukourikis, Periklis ; Alqahtani, Ali Abdullah ; Han, Woong Kyu ; Rha, Koon Ho</creator><creatorcontrib>Koukourikis, Periklis ; Alqahtani, Ali Abdullah ; Han, Woong Kyu ; Rha, Koon Ho</creatorcontrib><description>Objective
To assess the feasibility and safety of pure single‐port (SP) retzius‐sparing robot‐assisted radical prostatectomy (RARP) using the da Vinci SP and describe the technique.
Materials and Methods
From August 2020 to November 2020, data of 10 consecutive patients with localized prostate cancer, who underwent SP retzius‐sparing RARP, were prospectively collected. Patients demographics, intraoperative variables, postoperative complications, early oncological, and functional outcomes were assessed.
Results
The patients were aged 46–73 years with a body mass index between 20.3 and 27.4 kg/m2. Prostate volumes ranged from 15 to 47.2 ml, with a median (interquartile range, IQR) PSA level of 7.4 (6.2–9.1) ng/ml. All surgeries were successfully completed without conversion. The median (IQR) operative and console time were 106 (101–109) min and 65 (63–68) min, respectively. The median (IQR) blood loss was 125 (50–150) ml, and one Clavien–Dindo grade I complication occurred. At 3 months, nine patients had undetectable PSA levels and all patients were continent.
Conclusions
Pure SP retzius‐sparing RARP could be safely performed using the da Vinci SP system, with acceptable surgical times and minimal complications. Future research will evaluate the advantages of this technique over the standard multiport robotic surgery.</description><identifier>ISSN: 2688-4526</identifier><identifier>EISSN: 2688-4526</identifier><identifier>DOI: 10.1002/bco2.131</identifier><identifier>PMID: 35492224</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Abdomen ; Bladder ; Body mass index ; Cancer surgery ; Catheters ; Comorbidity ; Dissection ; Intubation ; Original ; ORIGINAL ARTICLES ; Pathology ; Patient safety ; Prostate cancer ; prostatectomy ; Questionnaires ; robotics ; Robots ; Sexual health ; single port ; single‐access surgery ; Surgeons ; Surgery ; Surgical outcomes ; Surgical techniques ; Sutures ; Urological surgery ; Urology</subject><ispartof>BJUI compass, 2022-05, Vol.3 (3), p.251-256</ispartof><rights>2022 The Authors. BJUI Compass published by John Wiley & Sons Ltd on behalf of BJU International Company.</rights><rights>2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5041-348c49b597ef817795abb5b2e37ba86cf70eaa3b2ea3fbf807496980e35387ba3</citedby><cites>FETCH-LOGICAL-c5041-348c49b597ef817795abb5b2e37ba86cf70eaa3b2ea3fbf807496980e35387ba3</cites><orcidid>0000-0002-2527-4046 ; 0000-0001-8588-7584 ; 0000-0003-4688-8343</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2890728517/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2890728517?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,11542,25732,27903,27904,36991,36992,44569,46030,46454,53769,53771,74872</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35492224$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koukourikis, Periklis</creatorcontrib><creatorcontrib>Alqahtani, Ali Abdullah</creatorcontrib><creatorcontrib>Han, Woong Kyu</creatorcontrib><creatorcontrib>Rha, Koon Ho</creatorcontrib><title>Pure single‐port retzius‐sparing robot‐assisted radical prostatectomy with the da Vinci SP: Initial experience and technique description</title><title>BJUI compass</title><addtitle>BJUI Compass</addtitle><description>Objective
To assess the feasibility and safety of pure single‐port (SP) retzius‐sparing robot‐assisted radical prostatectomy (RARP) using the da Vinci SP and describe the technique.
Materials and Methods
From August 2020 to November 2020, data of 10 consecutive patients with localized prostate cancer, who underwent SP retzius‐sparing RARP, were prospectively collected. Patients demographics, intraoperative variables, postoperative complications, early oncological, and functional outcomes were assessed.
Results
The patients were aged 46–73 years with a body mass index between 20.3 and 27.4 kg/m2. Prostate volumes ranged from 15 to 47.2 ml, with a median (interquartile range, IQR) PSA level of 7.4 (6.2–9.1) ng/ml. All surgeries were successfully completed without conversion. The median (IQR) operative and console time were 106 (101–109) min and 65 (63–68) min, respectively. The median (IQR) blood loss was 125 (50–150) ml, and one Clavien–Dindo grade I complication occurred. At 3 months, nine patients had undetectable PSA levels and all patients were continent.
Conclusions
Pure SP retzius‐sparing RARP could be safely performed using the da Vinci SP system, with acceptable surgical times and minimal complications. Future research will evaluate the advantages of this technique over the standard multiport robotic surgery.</description><subject>Abdomen</subject><subject>Bladder</subject><subject>Body mass index</subject><subject>Cancer surgery</subject><subject>Catheters</subject><subject>Comorbidity</subject><subject>Dissection</subject><subject>Intubation</subject><subject>Original</subject><subject>ORIGINAL ARTICLES</subject><subject>Pathology</subject><subject>Patient safety</subject><subject>Prostate cancer</subject><subject>prostatectomy</subject><subject>Questionnaires</subject><subject>robotics</subject><subject>Robots</subject><subject>Sexual health</subject><subject>single port</subject><subject>single‐access surgery</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Sutures</subject><subject>Urological surgery</subject><subject>Urology</subject><issn>2688-4526</issn><issn>2688-4526</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1kt1qFDEUgAdRbKkFn0AC3nizNb-TjBeCLlYXCi34cxsymTO7WWaTMclYt1c-gfiMPolZt9ZW8Co553z5OJycqnpM8AnBmD5vbaAnhJF71SGtlZpxQev7t-4H1XFKa1xQRphk-GF1wARvKKX8sPp-MUVAyfnlAD-__RhDzChCvnJTKmEaTSwlFEMbcolNSi5l6FA0nbNmQGMMKZsMNofNFl26vEJ5Bagz6JPz1qH3Fy_QwrvsCgtfR4gOvAVkfIfKo5V3n6dCQ7LRjdkF_6h60JshwfH1eVR9PH3zYf5udnb-djF_dTazAnMyY1xZ3rSikdArImUjTNuKlgKTrVG17SUGY1hJGNa3vcKSN3WjMDDBVEHYUbXYe7tg1nqMbmPiVgfj9O9EiEttYnZ2AE1lbUgvhGmI5ZSDEl3fYq6krTlRTVdcL_eucWo30FnwOZrhjvRuxbuVXoYvusFcCEWL4Nm1IIYyj5T1xiULw2A8hClpWgtVcy5rVdCn_6DrMEVfRqWparCkShD5V2jL96QI_U0zBOvdzujdzuiyMwV9crv5G_DPhhRgtgcu3QDb_4r06_k53Ql_AWWS0CI</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Koukourikis, Periklis</creator><creator>Alqahtani, Ali Abdullah</creator><creator>Han, Woong Kyu</creator><creator>Rha, Koon Ho</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-2527-4046</orcidid><orcidid>https://orcid.org/0000-0001-8588-7584</orcidid><orcidid>https://orcid.org/0000-0003-4688-8343</orcidid></search><sort><creationdate>202205</creationdate><title>Pure single‐port retzius‐sparing robot‐assisted radical prostatectomy with the da Vinci SP: Initial experience and technique description</title><author>Koukourikis, Periklis ; Alqahtani, Ali Abdullah ; Han, Woong Kyu ; Rha, Koon Ho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5041-348c49b597ef817795abb5b2e37ba86cf70eaa3b2ea3fbf807496980e35387ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Bladder</topic><topic>Body mass index</topic><topic>Cancer surgery</topic><topic>Catheters</topic><topic>Comorbidity</topic><topic>Dissection</topic><topic>Intubation</topic><topic>Original</topic><topic>ORIGINAL ARTICLES</topic><topic>Pathology</topic><topic>Patient safety</topic><topic>Prostate cancer</topic><topic>prostatectomy</topic><topic>Questionnaires</topic><topic>robotics</topic><topic>Robots</topic><topic>Sexual health</topic><topic>single port</topic><topic>single‐access surgery</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><topic>Sutures</topic><topic>Urological surgery</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koukourikis, Periklis</creatorcontrib><creatorcontrib>Alqahtani, Ali Abdullah</creatorcontrib><creatorcontrib>Han, Woong Kyu</creatorcontrib><creatorcontrib>Rha, Koon Ho</creatorcontrib><collection>Open Access: Wiley-Blackwell Open Access Journals</collection><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BJUI compass</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koukourikis, Periklis</au><au>Alqahtani, Ali Abdullah</au><au>Han, Woong Kyu</au><au>Rha, Koon Ho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pure single‐port retzius‐sparing robot‐assisted radical prostatectomy with the da Vinci SP: Initial experience and technique description</atitle><jtitle>BJUI compass</jtitle><addtitle>BJUI Compass</addtitle><date>2022-05</date><risdate>2022</risdate><volume>3</volume><issue>3</issue><spage>251</spage><epage>256</epage><pages>251-256</pages><issn>2688-4526</issn><eissn>2688-4526</eissn><abstract>Objective
To assess the feasibility and safety of pure single‐port (SP) retzius‐sparing robot‐assisted radical prostatectomy (RARP) using the da Vinci SP and describe the technique.
Materials and Methods
From August 2020 to November 2020, data of 10 consecutive patients with localized prostate cancer, who underwent SP retzius‐sparing RARP, were prospectively collected. Patients demographics, intraoperative variables, postoperative complications, early oncological, and functional outcomes were assessed.
Results
The patients were aged 46–73 years with a body mass index between 20.3 and 27.4 kg/m2. Prostate volumes ranged from 15 to 47.2 ml, with a median (interquartile range, IQR) PSA level of 7.4 (6.2–9.1) ng/ml. All surgeries were successfully completed without conversion. The median (IQR) operative and console time were 106 (101–109) min and 65 (63–68) min, respectively. The median (IQR) blood loss was 125 (50–150) ml, and one Clavien–Dindo grade I complication occurred. At 3 months, nine patients had undetectable PSA levels and all patients were continent.
Conclusions
Pure SP retzius‐sparing RARP could be safely performed using the da Vinci SP system, with acceptable surgical times and minimal complications. Future research will evaluate the advantages of this technique over the standard multiport robotic surgery.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>35492224</pmid><doi>10.1002/bco2.131</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2527-4046</orcidid><orcidid>https://orcid.org/0000-0001-8588-7584</orcidid><orcidid>https://orcid.org/0000-0003-4688-8343</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | BJUI compass, 2022-05, Vol.3 (3), p.251-256 |
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| source | Open Access: Wiley-Blackwell Open Access Journals; Publicly Available Content Database; PubMed Central |
| subjects | Abdomen Bladder Body mass index Cancer surgery Catheters Comorbidity Dissection Intubation Original ORIGINAL ARTICLES Pathology Patient safety Prostate cancer prostatectomy Questionnaires robotics Robots Sexual health single port single‐access surgery Surgeons Surgery Surgical outcomes Surgical techniques Sutures Urological surgery Urology |
| title | Pure single‐port retzius‐sparing robot‐assisted radical prostatectomy with the da Vinci SP: Initial experience and technique description |
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