Single-port (SP) robotic surgery is a novel technology and is at the beginning of its adoption curve in urology. The goal of this narrative review is to provide an overview of SP-robotic partial nephrectomy (PN) 4 years after the introduction of the da Vinci SP dedicated platform, focusing on perioperative outcomes, length of stay, and surgical technique. A nonsystematic review of the literature was conducted. The research included the most updated articles that referred to SP robotic PN. Since its commercial release in 2018, several institutions have reproduced robotic PN by using the SP platform, both via a transperitoneal and a retroperitoneal approach. The published SP-robotic PN series are generally based on preliminary experiences by surgeons who had previous experience with conventional multi-arms robotic platforms. The reported outcomes are encouraging. Overall, three studies reported that SP-robotic PN cases had nonsignificantly different operative time, estimated blood loss, overall complications rate, and length of stay compared to the conventional 'multi-arms' robotic PN. However, in all these series, renal masses treated by SP had overall lower complexity. Moreover, two studies underlined decreased postoperative pain as a major pro of adopting the SP system. This should reduce/avoid the need for opioids after surgery. No study compared SP-robotic versus multi-arms robotic PN in cost-effectiveness. Published experience with SP-robotic PN has reported the feasibility and safety of the approach. Preliminary results are encouraging and at least noninferior with respect to those from the multi-arms series. Prospective comparative studies with long-term oncologic and functional results are awaited to draw more definitive conclusions and better establish the more appropriate indications of SP robotics in the field of PN.


    Zugriff

    Download


    Exportieren, teilen und zitieren



    Titel :

    Single-port robotic partial nephrectomy: impact on perioperative outcomes and hospital stay


    Beteiligte:

    Erscheinungsdatum :

    2023-01-01



    Medientyp :

    Aufsatz (Zeitschrift)


    Format :

    Elektronische Ressource


    Sprache :

    Englisch



    Klassifikation :

    DDC:    629



    Single-port robotic partial nephrectomy: impact on perioperative outcomes and hospital stay

    Carbonara, Umberto / Amparore, Daniele / Borregales, Leonardo D et al. | BASE | 2023

    Freier Zugriff


    Robotic partial nephrectomy for renal cancer

    Danilo Coco / Silvana Leanza | BASE | 2020

    Freier Zugriff

    Retroperitoneal robotic partial nephrectomy: Systematic review and cumulative analysis of comparative outcomes

    Pavan N. / Derweesh I. / Hampton L. J. et al. | BASE | 2018

    Freier Zugriff