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

Author:

Franco Antonio12,Pellegrino Antony A.34,De Nunzio Cosimo2ORCID,Salkowski Morgan1,Jackson Jamal C.1,Zukowski Lucas B.1,Checcucci Enrico5,Vourganti Srinivas1,Chow Alexander K.1,Porpiglia Francesco6,Kaouk Jihad7,Crivellaro Simone3,Autorino Riccardo1ORCID

Affiliation:

1. Department of Urology, Rush University, Chicago, IL 60612, USA

2. Department of Urology, Sant’Andrea Hospital, La Sapienza University, 00189 Rome, Italy

3. Department of Urology, University of Illinois at Chicago, Chicago, IL 60612, USA

4. Unit of Urology/Division of Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy

5. Department of Surgery, Candiolo Cancer Institute, FPO-IRCCS, Candiolo, 10060 Turin, Italy

6. Division of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, 10043 Turin, Italy

7. Department of Urology, Cleveland Clinic, Cleveland, OH 44106, USA

Abstract

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.

Publisher

MDPI AG

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