Description of Extraperitoneal Single-Port Robot-Assisted Radical Prostatectomy

Authors

  • Radheshyam Gupta Department of Urology Surgery, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China
  • Ram Prasad Chaulagain Department of Gastroenterology and Hepatology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China
  • Binay Kumar Shah Department of Respiratory Medicine, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai 200072, China
  • Nand Lal Department of Physiology, Harbin Medical University, Harbin, Heilongjiang, China
  • Essa Ceesay Department of Oncology, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China
  • Wanhai Xu Department of Urology Surgery, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China

DOI:

https://doi.org/10.14738/bjhmr.103.14929

Keywords:

Extaperitoneal, single-port, radical prostatectomy, prostate cancer, minimally invasive surgery

Abstract

Extraperitoneal SP-RARP (single Port -Robot-assisted radical prostatectomy) is currently the standard minimally and safe invasive procedure for the surgical management of localized prostate cancer.When compared to open surgery, it has been demonstrated that the minimally invasive robotic approach provides comparable oncologic and functional outcomes with potential benefits, such as reduced blood loss, a shorter hospital stay, and a quicker recovery time. Due to its larger scope and early adoption, the transperitoneal RARP approach is typically the one used most frequently by robotic surgeons. The extraperitoneal approach has, however, been reported to have similar oncologic outcomes. Extraperitoneal RARP is less frequently used today because of its alleged technical complexity. However, this strategy has advantages, especially when peritoneal access is difficult due to severe adhesions from prior operations. To treat locally advanced prostate cancer, extraperitoneal SP-RARP is a feasible safe surgical option. Using the more recent single-port (SP) robotic system or the more traditional multiport robotic system, both transperitoneal and extraperitoneal approaches can be carried out. With regard to extraperitoneal RARP, the SP system has seen a rise in popularity due to its alleged benefits, which include better cosmesis, fewer postoperative analgesic and opioid needs, and a shorter length of hospital stay. For evidence supporting these benefits, additional research must be conducted.

References

Chen J, Oromendia C, Halpern JA, Ballman KV. National trends in management of localized prostate cancer: A population based analysis 2004-2013. Prostate. 2018;78(7):512-20.

Millin T. Retropubic prostatectomy; a new extravesical technique; report of 20 cases. Lancet. 1945;2(6380):693-6.

Dobbs RW, Magnan BP, Abhyankar N, Hemal AK, Challacombe B, Hu J, et al. Cost effectiveness and robotassisted urologic surgery: does it make dollars and sense? Minerva Urol Nefrol. 2017;69(4):313-23.

Pearce SM, Pariser JJ, Karrison T, Patel SG, Eggener SE. Comparison of Perioperative and Early Oncologic Outcomes between Open and Robotic Assisted Laparoscopic Prostatectomy in a Contemporary Population Based Cohort. J Urol. 2016;196(1):76-81.

Fantus RJ, Cohen A, Riedinger CB, Kuchta K, Wang CH, Yao K, et al. Facility-level analysis of robot utilization across disciplines in the National Cancer Database. J Robot Surg. 2019;13(2):293-9.

Oberlin DT, Flum AS, Lai JD, Meeks JJ. The effect of minimally invasive prostatectomy on practice patterns of American urologists. Urol Oncol. 2016;34(6):255.e1-5.

Ficarra V, Novara G, Rosen RC, Artibani W, Carroll PR, Costello A, et al. Systematic review and metaanalysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol. 2012;62(3):405-17.

Gettman MT, Box G, Averch T, Cadeddu JA, Cherullo E, Clayman RV, et al. Consensus statement on natural orifice transluminal endoscopic surgery and single-incision laparoscopic surgery: heralding a new era in urology? Eur Urol. 2008;53(6):1117-20.

Kaouk JH, Haber GP, Autorino R, Crouzet S, Ouzzane A, Flamand V, et al. A novel robotic system for singleport urologic surgery: first clinical investigation. Eur Urol. 2014;66(6):1033-43.

Francavilla S, Veccia A, Dobbs RW, Zattoni F, Vigneswaran HT, Antonelli A, et al. Radical prostatectomy technique in the robotic evolution: from da Vinci standard to single port-a single surgeon pathway. J Robot Surg. 2022;16(1):21-7.

Kaouk J, Bertolo R, Eltemamy M, Garisto J. Single-Port Robot-Assisted Radical Prostatectomy: First Clinical Experience Using The SP Surgical System. Urology. 2019;124:309.

Lai A, Dobbs RW, Talamini S, Halgrimson WR, Wilson JO, Vigneswaran HT, et al. Single port robotic radical prostatectomy: a systematic review. Transl Androl Urol. 2020;9(2):898-905.

Kaouk J, Aminsharifi A, Wilson CA, Sawczyn G, Garisto J, Francavilla S, et al. Extraperitoneal versus Transperitoneal Single Port Robotic Radical Prostatectomy: A Comparative Analysis of Perioperative Outcomes. J Urol. 2020;203(6):1135-40.

Agarwal DK, Sharma V, Toussi A, Viers BR, Tollefson MK, Gettman MT, et al. Initial Experience with da Vinci Single-port Robot-assisted Radical Prostatectomies. Eur Urol. 2020;77(3):373-9.

Checcucci E, De Cillis S, Pecoraro A, Peretti D, Volpi G, Amparore D, et al. Single-port robot-assisted radical prostatectomy: a systematic review and pooled analysis of the preliminary experiences. BJU Int. 2020;126(1):55-64.

Abdollah F, Moschini M, Sood A, Sammon J, Dalela D, Hsu L, et al. When Should a Positive Surgical Margin Ring a Bell? An Analysis of a Multi-Institutional Robot-Assisted Laparoscopic Radical Prostatectomy Database. J Endourol. 2016;30(2):201-7. 384

Noh TI, Tae JH, Shim JS, Kang SH, Cheon J, Lee JG, et al. Initial experience of single-port robot-assisted radical prostatectomy: A single surgeon's experience with technique description. Prostate Int. 2022;10(2):85-91.

Saidian A, Fang AM, Hakim O, Magi-Galluzzi C, Nix JW, Rais-Bahrami S. Perioperative Outcomes of Single vs Multi-Port Robotic Assisted Radical Prostatectomy: A Single Institutional Experience. J Urol. 2020;204(3):490-5.

Vigneswaran HT, Schwarzman LS, Francavilla S, Abern MR, Crivellaro S. A Comparison of Perioperative Outcomes Between Single-port and Multiport Robot-assisted Laparoscopic Prostatectomy. Eur Urol. 2020;77(6):671-4.

Covas Moschovas M, Bhat S, Rogers T, Onol F, Roof S, Mazzone E, et al. Technical Modifications Necessary to Implement the da Vinci Single-port Robotic System. Eur Urol. 2020;78(3):415-23.

Covas Moschovas M, Bhat S, Onol F, Rogers T, Patel V. Early outcomes of single-port robot-assisted radical prostatectomy: lessons learned from the learning-curve experience. BJU Int. 2021;127(1):114-21.

Yoo S, Lim B, Choi SY, You D, Kim CS. Width of spared neurovascular bundle after robot-assisted laparoscopic prostatectomy in patients with prostate cancer: is it a reliable factor for predicting postoperative sexual outcome? Prostate Int. 2021;9(3):119-24.

Schroeck FR, Jacobs BL, Bhayani SB, Nguyen PL, Penson D, Hu J. Cost of New Technologies in Prostate Cancer Treatment: Systematic Review of Costs and Cost Effectiveness of Robotic-assisted Laparoscopic Prostatectomy, Intensity-modulated Radiotherapy, and Proton Beam Therapy. Eur Urol. 2017;72(5):712-35.

Downloads

Published

2023-07-02

How to Cite

Gupta, R., Chaulagain, R. P., Shah, B. K., Lal, N., Ceesay, E., & Xu, W. (2023). Description of Extraperitoneal Single-Port Robot-Assisted Radical Prostatectomy. British Journal of Healthcare and Medical Research, 10(3), 375–385. https://doi.org/10.14738/bjhmr.103.14929

Issue

Vol. 10 No. 3 (2023): British Journal of Healthcare and Medical Research

Section

Original Articles

License

Copyright (c) 2023 Radheshyam Gupta, Ram Prasad Chaulagain, Binay Kumar Gupta, Lal Nand, Essa Ceesay, Wanhai Xu

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.