Recent advances in single-site/incision robotic-assisted radical prostatectomy

Shangqing Ren; Yang Zheng; Xu Hu; Yige Bao; Dong Wang; Yifan Chang

doi:10.1016/j.ejso.2023.03.213

Recent advances in single-site/incision robotic-assisted radical prostatectomy

Eur J Surg Oncol. 2023 Aug;49(8):1341-1350. doi: 10.1016/j.ejso.2023.03.213. Epub 2023 Mar 13.

Authors

Shangqing Ren¹, Yang Zheng², Xu Hu³, Yige Bao⁴, Dong Wang⁵, Yifan Chang⁶

Affiliations

¹ Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, 610072, China.
² Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, 610072, China; School of Medicine, University of Electronic Science and Technology of China, Chengdu, 610051, China.
³ Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, 610041, China.
⁴ Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, 610041, China. Electronic address: baoyige@hotmail.com.
⁵ Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, 610072, China. Electronic address: wangdong19690530@163.com.
⁶ Department of Urology, Changhai Hospital, Shanghai, 200433, China. Electronic address: 13661652533@163.com.

PMID: 36935223
DOI: 10.1016/j.ejso.2023.03.213

Abstract

Introduction: Single-site robotic-assisted radical prostatectomy (ssRARP) has been successfully applied to treat prostate cancer. This review aims to describe the recent advances of surgical approaches, working accesses and novel robotic platforms in ssRARP.

Material and methods: A systematic literature search was performed by searching the PubMed, EMBASE, Web of Science and Scopus databases in December 2022 to identify all literature related to ssRARP.

Results: A total of 48 relevant studies were found worldwide from 2008 to 2023. Since the introduction of ssRARP, various modifications of this technique in surgical approaches, working accesses and novel robotic platforms have been developed. The application of ssRARP using the da Vinci SP platform has shown great superiority with encouraging clinical outcomes.

Discussion: There has been a potential shift toward ssRARP using the da Vinci SP platform due to its potential advantages in terms of lower blood loss, minimal postoperative pain, better cosmetic outcome and rapid recovery. More convincing evidence, further technical improvement and higher cost-effectiveness are needed for its widespread acceptance.

Keywords: Review; Robotic-assisted radical prostatectomy; Single incision; Single-site.

Publication types

Review

MeSH terms

Humans
Laparoscopy* / methods
Male
Prostate
Prostatectomy / methods
Prostatic Neoplasms* / surgery
Robotic Surgical Procedures* / methods
Robotics* / methods
Surgical Wound*