Initial experience on extraperitoneal single-port robotic-assisted radical prostatectomy  

作　　者：Yi-Fan Chang Di Gu Ni Mei Wei-Dong Xu Xiao-Jun Lu Yu-Tian Xiao Chuan-Liang Xu Ying-Hao Sun Shan-Cheng Ren 

机构地区：[1]Department of Urology,Shanghai Changhai Hospital,Naval Medical University,Shanghai 200433,China [2]Department of Urology,The First Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 510120,China

出　　处：《Chinese Medical Journal》2021年第2期231-233,共3页中华医学杂志（英文版）

基　　金：partially funded by the National Natural Science Foundation of China(No.81872105);the National Major R&D Program of China(No.2017YFC0908002);Shanghai Changhai Hospital(No.2019YXK058)。

摘　　要：The surgical spectrum for radical prostatectomy(RP)has evolved from open surgery to novel minimally invasive approaches during the past few decades,with roboticassisted radical prostatectomy(RARP)being collectively reckoned as an increasingly popular option for prostate cancer(PCa).A previous study has demonstrated the safety and effectiveness of radical-assisted Laparoscopic radical Prostatectomy(RALP).[1]While the transperitoneal route is the most popular surgical access option,alternative propositions include extraperitoneal,perineal,or transvesical access.Since the advent of the next-generation da Vinci Xi and single-port(SP)platforms,robotic laparoendoscopic single-site surgery(R-LESS)has emerged as an intriguing concept in various general or gynecological procedures and in partial nephrectomy.The first single-port robotic-assisted radical prostatectomy(spRARP)was reported in 2008,[2]but has not seen much improvement in surgical techniques and popularity thereafter,with less than 60 total cases reported globally.[3]A previous report[4]demonstrated that the adoption of transumbilical incision in spRARP surgery may cause reduced flexibility,limited working space,and frequent instrument clashing,potentially leading to longer surgeries and increased difficulty.Extraperitoneal RARP has been widely reported in the literature with similar trifecta outcomes and shows more rapid recovery and reduced peri-operative complication rates.[5]The current study aims to investigate the feasibility of extraperitoneal single-port RARP(espRARP)with the use of the da Vinci Si HD model.

关 键 词：PERITONEAL instrument RADICAL 

分 类 号：R737.25[医药卫生—肿瘤]