Journal article
Initial experience with extraperitoneal robotic-assisted simple prostatectomy using the da Vinci SP surgical system
Journal of robotic surgery, Vol.14(4), pp.601-607
08/01/2020
DOI: 10.1007/s11701-019-01029-7
PMID: 31560124
Abstract
Robotic-assisted simple prostatectomy (RASP) has emerged as a safe and effective treatment option for symptomatic patients with lower urinary tract symptoms related to significant benign prostatic enlargement (BPE) above 80 g. The recent release of the da Vinci SP robotic system (Intuitive, Sunnyvale, CA, USA) continues to advance the minimally invasive nature of robotic surgical technology. We now report our institution's initial experience performing RASP using the da Vinci SP robotic system. An IRB-approved, retrospective chart review was performed of all patients undergoing robotic-assisted simple prostatectomy using the da Vinci SP surgical system in the treatment of benign prostatic enlargement by a single surgeon from March to June 2019. Pre-operative, intraoperative, and post-operative data were collected for descriptive analysis. A total of 10 men, mean age of 69 +/- 4 years, with mean prostate volume of 104 +/- 11 g underwent surgery. The robotic cannula and a single assistant port were utilized in all cases. No cases required conversion to a multi-port robotic platform or open approach, nor required the placement of additional assistant ports. No intraoperative or immediate post-operative complications were noted. Mean estimated blood loss was 141 +/- 98 mL and operative time was 172 +/- 19 min. Mean catheter time was 1.9 +/- 1.8 days. One patient reported transient de novo stress urinary incontinence. Single-port RASP is a safe and effective intervention for BPE. The smaller surgical footprint from the device appears to make earlier catheter removal possible. Comparative evaluation with multi-port RASP and other modalities is warranted.
Details
- Title: Subtitle
- Initial experience with extraperitoneal robotic-assisted simple prostatectomy using the da Vinci SP surgical system
- Creators
- Ryan L. Steinberg - The University of Texas Southwestern Medical CenterNiccolo Passoni - The University of Texas Southwestern Medical CenterAlaina Garbens - The University of Texas Southwestern Medical CenterBrett A. Johnson - Univ Texas Southwestern, Dept Urol, 2001 Inwood Dr,WCB3,Suite 4-878,MC 9110, Dallas, TX 75390 USAJeffrey C. Gahan - The University of Texas Southwestern Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of robotic surgery, Vol.14(4), pp.601-607
- Publisher
- Springer Nature
- DOI
- 10.1007/s11701-019-01029-7
- PMID
- 31560124
- ISSN
- 1863-2483
- eISSN
- 1863-2491
- Number of pages
- 7
- Language
- English
- Date published
- 08/01/2020
- Academic Unit
- Urology
- Record Identifier
- 9984319988102771
Metrics
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