Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, 610072, China.
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.
Eur J Surg Oncol. 2023 Aug;49(8):1341-1350. doi: 10.1016/j.ejso.2023.03.213. Epub 2023 Mar 13.
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.
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.
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.
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.
单部位机器人辅助根治性前列腺切除术（ssRARP）已成功应用于前列腺癌的治疗。本综述旨在描述 ssRARP 中手术方法、工作通道和新型机器人平台的最新进展。
2022 年 12 月，通过检索 PubMed、EMBASE、Web of Science 和 Scopus 数据库，对所有与 ssRARP 相关的文献进行了系统的文献检索。
自 2008 年至 2023 年，全球共发现 48 项相关研究。自 ssRARP 引入以来，在手术方法、工作通道和新型机器人平台方面对该技术进行了各种改进。使用达芬奇 SP 平台的 ssRARP 的应用显示出了巨大的优势，具有令人鼓舞的临床结果。
由于达芬奇 SP 平台在出血量低、术后疼痛最小、美容效果更好和恢复更快等方面具有潜在优势，因此人们对其应用 ssRARP 的兴趣可能发生了转变。需要更多有说服力的证据、进一步的技术改进和更高的成本效益，才能使其得到广泛接受。
