Next Article in Journal
Adolescent, Pregnant, and HIV-Infected: Risk of Adverse Pregnancy and Perinatal Outcomes in Young Women from Southern Mozambique
Previous Article in Journal
Early Prognostic Indicators of Subsequent Hospitalization in Patients with Mild COVID-19
Open AccessArticle

Extraperitoneal Robotic Laparo-Endoscopic Single-Site Plus1-Port Radical Prostatectomy Using the da Vinci Single-Site Platform

by 1,2,3,4, 1,2,3,*, 1,2, 4, 1,2,3, 1,2, 1,2,3 and 1,2,3,*
1
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
2
Department of Urology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80756, Taiwan
3
Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80756, Taiwan
4
Department of Urology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung 80756, Taiwan
*
Authors to whom correspondence should be addressed.
Academic Editor: Petros Grivas
J. Clin. Med. 2021, 10(8), 1563; https://doi.org/10.3390/jcm10081563
Received: 27 March 2021 / Revised: 2 April 2021 / Accepted: 6 April 2021 / Published: 8 April 2021
(This article belongs to the Section Oncology)
Currently, over 80% of radical prostatectomies have been performed with the da Vinci Surgical System. In order to improve the aesthetic outlook and decrease the morbidity of the operation, the new da Vinci Single Port (SP) system was developed in 2018. However, one major problem is the SP system is still not available in most countries. We aim to present our initial experience and show the safety and feasibility of the single-site robotic-assisted radical prostatectomy (LESS-RP) using the da Vinci Single-Site platform. From June 2017 to January 2020, 120 patients with localized prostate cancer (stage T1–T3b) at Kaohsiung Medical University Hospital were included in this study. We describe our technique and report our initial results of LESS-RP using the da Vinci Si robotic system. Preoperative, intraoperative and postoperative patient variables were recorded. Prostate-specific antigen (PSA)-free survival was also analyzed. A total of 120 patients were enrolled in the study. The median age of patients was 68 years (IQR 63–71), with a median body mass index of 25 kg/m2 (IQR 23–27). The median PSA value before operation was 10.7 ng/mL (IQR 7.9–21.1). The median setup time for creat-ing the extraperitoneal space and ports document was 25 min (IQR 18–34). The median robotic console time and operation time were 135 min (IQR 110–161) and 225 min (IQR 197–274), respectively. Median blood loss was 365 mL (IQR 200–600). There were 11 (9.2%) patients who experienced complications (Clavien–Dindo classification Gr II). The me-dian catheter duration was 8 days (IQR 7–9), with a median of 10 days (IQR 7–11) of hospital stay. The PSA free-survival rate was 86% at a median 19 months (IQR 6–28) of follow up. Robotic radical prostatectomy using the da Vinci Single-Site platform system is safe and feasible, with acceptable outcomes. View Full-Text
Keywords: radical prostatectomy; robotic surgery; single port; LESS; extraperitoneal radical prostatectomy; robotic surgery; single port; LESS; extraperitoneal
Show Figures

Figure 1

MDPI and ACS Style

Li, C.-C.; Chien, T.-M.; Lee, M.-R.; Lee, H.-Y.; Ke, H.-L.; Wen, S.-C.; Chou, Y.-H.; Wu, W.-J. Extraperitoneal Robotic Laparo-Endoscopic Single-Site Plus1-Port Radical Prostatectomy Using the da Vinci Single-Site Platform. J. Clin. Med. 2021, 10, 1563. https://doi.org/10.3390/jcm10081563

AMA Style

Li C-C, Chien T-M, Lee M-R, Lee H-Y, Ke H-L, Wen S-C, Chou Y-H, Wu W-J. Extraperitoneal Robotic Laparo-Endoscopic Single-Site Plus1-Port Radical Prostatectomy Using the da Vinci Single-Site Platform. Journal of Clinical Medicine. 2021; 10(8):1563. https://doi.org/10.3390/jcm10081563

Chicago/Turabian Style

Li, Ching-Chia; Chien, Tsu-Ming; Lee, Ming-Ru; Lee, Hsiang-Ying; Ke, Hung-Lung; Wen, Sheng-Chen; Chou, Yii-Her; Wu, Wen-Jeng. 2021. "Extraperitoneal Robotic Laparo-Endoscopic Single-Site Plus1-Port Radical Prostatectomy Using the da Vinci Single-Site Platform" J. Clin. Med. 10, no. 8: 1563. https://doi.org/10.3390/jcm10081563

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Search more from Scilit
 
Search
Back to TopTop