SINGLE PORT ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY: INITIAL EXPERIENCE AND TECHNIQUE AT NORTHWELL HEALTH

You have accessJournal of UrologyCME1 May 2022V07-02 SINGLE PORT ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY: INITIAL EXPERIENCE AND TECHNIQUE AT NORTHWELL HEALTH Alexa Meyer, Leon Telis, Bertie Zhang, Jared Winoker, Michael Feuerstein, Jay Bishoff, Michael Schwartz, Manish Vira, Louis Kavoussi, and Lee Richstone Alexa MeyerAlexa Meyer More articles by this author , Leon TelisLeon Telis More articles by this author , Bertie ZhangBertie Zhang More articles by this author , Jared WinokerJared Winoker More articles by this author , Michael FeuersteinMichael Feuerstein More articles by this author , Jay BishoffJay Bishoff More articles by this author , Michael SchwartzMichael Schwartz More articles by this author , Manish ViraManish Vira More articles by this author , Louis KavoussiLouis Kavoussi More articles by this author , and Lee RichstoneLee Richstone More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002598.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Here we describe our technique and results for single port robotic radical prostatectomy (SP-RALP). Perioperative outcomes are reviewed for the initial 60 cases at Northwell Health. METHODS: We retrospectively reviewed the initial SP-RALP data. Pre-, peri-, and postoperative data were collected for key outcomes including: demographics, operative time, estimated blood loss (EBL), duration of hospital stay (LOS), complications, and pathology. RESULTS: Between March 5, 2021 and October 29, 2021, 60 men with prostate cancer underwent SP-RALP by 6 surgeons. Table 1 lists the baseline demographics. Median age was 63 years (IQR 57-68) and median BMI was 25.85 (IQR 23.84-28.08). Median prostate volume was 32 grams (IQR 25-44), and median PSA density was 0.20 ng/mL2 (IQR 0.14-0.30).Table 2 lists the operative outcomes. Median OR time was 202 minutes (IQR 170-237), and median EBL was 150cc (IQR 100-250). 41 cases (68.3%) were done with an intraperitoneal approach, and 19 (31.7%) were extraperitoneal. 29 cases (48.3%) were pure single port, while an assistant port was used in 31 cases (51.7%). Median LOS was 1 day (IQR 1-1). One intraoperative complication occurred, an enterotomy that was repaired with the SP system. No cases were converted to open. There were 7 (11.67%) Clavien 3 or higher complications. Of note, 5 were collections requiring IR drainage. 4 complications were delayed and outside the reporting window, but were included in this analysis. Table 3 lists final pathology. CONCLUSIONS: SP appears to be a safe and feasible approach to performing robotic radical prostatectomy, offering a small single incision, as well as an extraperitoneal option in patients with a hostile abdomen. Long-term follow-up is necessary to assess oncological and functional results. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e658 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alexa Meyer More articles by this author Leon Telis More articles by this author Bertie Zhang More articles by this author Jared Winoker More articles by this author Michael Feuerstein More articles by this author Jay Bishoff More articles by this author Michael Schwartz More articles by this author Manish Vira More articles by this author Louis Kavoussi More articles by this author Lee Richstone More articles by this author Expand All Advertisement PDF DownloadLoading ...