To assess the safety and feasibility of the da Vinci SP (Intuitive Surgical, Sunnyvale, CA, USA) robotic platform for a consecutive series of patients who underwent single port robot-assisted laparoscopic radical prostatectomy (SP-RALP).
Ten consecutive patients with biopsy-confirmed prostate cancer underwent SP-RALP at our institution. Pre, peri, and postoperative data were prospectively collected regarding key outcomes including estimated blood loss, operative time, postoperative pain requirements, duration of hospital stay, and complications.
Patients were between 52 and 77 years of age with BMI between 24.4 and 36.7 kg/m2 . Prostate volumes ranged from 26 to 136 cc with an average PSA 11.0 ng/mL (SD 10.6). Lymph node dissection was performed in 4 cases and nerve sparing performed in 5 cases. No intra-operative complications occurred, and no patients required conversion to open approach. Estimated total blood loss was 20 to 150 cc with median console time of 189 (IQR 171 – 207) minutes and operative time of 234 minutes (IQR 216 – 247). No patients were readmitted or required intervention. Urethral catheters were removed a median 10 days (IQR 8-11) following surgery.
SP-RALP appears to be a safe and feasible approach to performing robotic radical prostatectomy. Long term follow-up will be necessary to assess initial oncological and functional results. This article is protected by copyright. All rights reserved.
BJU international. 2019 Jul 13 [Epub ahead of print]
Ryan W Dobbs, Whitney R Halgrimson, Ikenna Madueke, Hari T Vigneswaran, Jessica O Wilson, Simone Crivellaro
Department of Urology, College of Medicine, University of Illinois at Chicago.