Department of Urology, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
BJU Int. 2019 Dec;124(6):1022-1027. doi: 10.1111/bju.14864. Epub 2019 Jul 29.
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).
In all, 10 consecutive patients with biopsy confirmed prostate cancer underwent SP-RALP at our institution. Pre-, peri-, and postoperative data were prospectively collected for key outcomes including: estimated blood loss (EBL), operative time, postoperative pain requirements, duration of hospital stay, and complications.
The patients were aged 52-77 years with a body mass index of 24.4-36.7 kg/m . Prostate volumes ranged from 26 to 136 mL, with a mean (sd) PSA (prostate specific antigen) level of 11.0 (10.6) ng/mL. Lymph node dissection was performed in four patients and nerve sparing in five. No intraoperative complications occurred, and no patients required conversion to an open approach. Total EBL was 20-150 mL, with a median (interquartile range [IQR]) console time of 189 (171-207) min and operative time of 234 (216-247) min. No patients were readmitted or required intervention. Urethral catheters were removed at a median (IQR) of 10 (8-11) days after 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.
评估达芬奇 SP 机器人平台（美国加利福尼亚州森尼韦尔直觉外科公司）用于连续系列接受单端口机器人辅助腹腔镜根治性前列腺切除术（SP-RALP）患者的安全性和可行性。
在我们的机构中，共有 10 名连续的经活检证实患有前列腺癌的患者接受了 SP-RALP。前瞻性收集了术前、术中和术后的数据，用于评估关键结果，包括：估计出血量（EBL）、手术时间、术后疼痛需求、住院时间和并发症。
患者年龄 52-77 岁，体重指数为 24.4-36.7 kg/m 。前列腺体积从 26 到 136 毫升不等，平均（标准差）前列腺特异性抗原（PSA）水平为 11.0（10.6）ng/ml。4 例患者行淋巴结清扫术，5 例患者行神经保留术。无术中并发症，无患者需要转为开放手术。总出血量为 20-150 毫升，控制台时间中位数（四分位距[IQR]）为 189（171-207）分钟，手术时间为 234（216-247）分钟。无患者再入院或需要干预。尿道导管中位数（IQR）在手术后 10（8-11）天取出。
SP-RALP 似乎是一种安全可行的机器人根治性前列腺切除术方法。需要进行长期随访以评估初始肿瘤学和功能结果。
