Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA.
Can J Urol. 2020 Jun;27(3):10263-10269.
The da Vinci single port (SP) robotic system (Intuitive Surgical, Sunnyvale, CA, USA) is a recently approved robotic platform designed with several modifications to the previously available multi-port robotic systems. This article describes the technique performed utilizing the SP robotic system for radical robotic-assisted laparoscopic prostatectomy (RALP) with or without bilateral pelvic lymph node dissection from a single institution. In this report we describe our step-by-step approach, technical modifications from the multi-port technique and initial results for performing single port robotic-assisted laparoscopic prostatectomy (SP-RALP). We describe our initial experience and technique with the SP robotic system consisting of 23 consecutive patients who underwent SP-RALP between December 2018 and May 2019. The median patient age was 62 years with approximately half of the patients undergoing pelvic lymphadenectomy. The median operative time was 236 minutes, median estimated blood loss was 50 mL and median length of hospital stay was 1 day. No unplanned port placements occurred and no conversions to open surgery occurred. We demonstrate the safety and feasibility of performing a transperitoneal prostatectomy with either a posterior or anterior approach.
达芬奇单端口(SP)机器人系统(直觉外科公司,加利福尼亚州桑尼维尔)是最近批准的机器人平台,对以前的多端口机器人系统进行了多项改进。本文描述了单中心使用 SP 机器人系统进行根治性机器人辅助腹腔镜前列腺切除术(RALP)的技术,包括或不包括双侧盆腔淋巴结清扫术。在本报告中,我们描述了我们的分步方法、从多端口技术到单端口技术的技术修改以及进行单端口机器人辅助腹腔镜前列腺切除术(SP-RALP)的初步结果。我们描述了我们的初步经验和技术,包括 23 例连续接受 SP-RALP 的患者,他们在 2018 年 12 月至 2019 年 5 月之间接受了手术。中位患者年龄为 62 岁,约一半的患者接受了盆腔淋巴结清扫术。中位手术时间为 236 分钟,中位估计出血量为 50 毫升,中位住院时间为 1 天。没有发生计划外的端口放置,也没有转为开放手术。我们证明了使用后入路或前入路进行经腹腔前列腺切除术的安全性和可行性。