Comparison of single-port and multi-port Retzius-sparing robot-assisted laparoscopic prostatectomy

Dissemination of robotic surgical technology for robot-assisted laparoscopic prostatectomy (RALP) has yielded advancements including the Retzius-sparing (RS) approach and the single-port (SP) platform. The safety and feasibility of each individual advancement have been evaluated, yet there is a lack...

Full description

Saved in:
Bibliographic Details
Published in:Journal of robotic surgery 2023-06, Vol.17 (3), p.835-840
Main Authors: Shiang, Alexander L., Palka, Joshua K., Balasubramanian, Shiva, Figenshau, R. Sherburne, Smith, Zachary L., Kim, Eric H.
Format: Article
Language:English
Subjects:
Bladder
Catheters
Demographics
Dissection
Feasibility
Humans
Laparoscopy
Laparoscopy - adverse effects
Learning curves
Length of stay
Lymphatic system
Male
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Original
Original Article
Patients
Postoperative Complications - etiology
Prostate cancer
Prostatectomy - adverse effects
Retrospective Studies
Robotic surgery
Robotic Surgical Procedures - methods
Robotics
Surgeons
Surgery
Surgical outcomes
Treatment Outcome
Urological surgery
Urology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Dissemination of robotic surgical technology for robot-assisted laparoscopic prostatectomy (RALP) has yielded advancements including the Retzius-sparing (RS) approach and the single-port (SP) platform. The safety and feasibility of each individual advancement have been evaluated, yet there is a lack of literature comparing SP RS-RALP to conventional multi-port (MP) RS-RALP. All patients who underwent RS-RALP at our institution between January 2019 and February 2021 were retrospectively reviewed. Data regarding baseline patient and tumor characteristics, operative characteristics, and surgical outcomes were collected and analyzed using the Fisher’s exact test and two-tailed unpaired t tests. 62 patients were evaluated: 31 received SP RS-RALP and 31 received MP RS-RALP. Differences in patient age, BMI, and initial PSA were not observed. Lower median lymph node yield (SP: 4 vs MP: 12, p  
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-022-01464-z