Surgical, Sunnyvale, CA, USA) in 2000 has led to a transformational change in the surgical management of prostate cancer [1]. While minimally invasive approaches with a traditional laparoscopic radical prostatectomy (LRP) technique had been described prior to the development of a robotic technique [2,3], the fearsome learning curve associated with LRP [4] limited its widespread utilisation. Conversely, between 2003 and 2013, the utilisation of robot-assisted LRP (RALP) increased from 1.8% to 85% of RPs in the USA [5]. While prior robotic models used multiple arms, which mirrored the LRP approach, in 2018 a novel surgical robotic platform, the da Vinci SP Surgical System was approved by the USA Food and Drug Administration for use in urological operations. This system uses an articulating camera and instruments that are docked from a single laparoscopic trocar, as shown in Fig. 1. Clinically this system has been described in initial case reports for partial nephrectomy [6], simple cystectomy with ileal conduit diversion, [6] ureteric re-implantation [6] and singleport RALP (SP-RALP) [6,7]. Potential advantages of this approach may include improved visualisation, improved cosmesis, and reduced postoperative pain.1,2 Here, we present the first prospective descriptive study that demonstrates the technical feasibility of the SP system; we sought to describe our initial experience, surgical technique, and early outcomes for SP-RALP within a consecutive cohort of 10 patients. 3,4
Dobbs, R. W., Halgrimson, W. R., Madueke, I., Vigneswaran, H. T., Wilson, J. O., & Crivellaro, S. (2019). “Single Port Robot-assisted Laparoscopic Radical Prostatectomy: Initial Experience and Technique With the da Vinci SP Platform.” BJU International. doi:10.1111/bju.14864
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