Highlights
- •ssRARP has advanced considerably in surgical approaches, working accesses and novel robotic platforms.
- •The transperitoneal and extraperitoneal approaches are the main surgical options for ssRARP.
- •There has been a potential shift toward ssRARP using the da Vinci SP platform due to its potential advantages.
- •There is a need for further technical improvement, enhancement of cost effectiveness, and more convincing evidence to support its benefits.
Abstract
Introduction
Single-site robotic-assisted radical prostatectomy (ssRARP) has been successfully
applied to treat prostate cancer. This review aims to describe the recent advances
of surgical approaches, working accesses and novel robotic platforms in ssRARP.
Material and methods
A systematic literature search was performed by searching the PubMed, EMBASE, Web
of Science and Scopus databases in December 2022 to identify all literature related
to ssRARP.
Results
A total of 48 relevant studies were found worldwide from 2008 to 2023. Since the introduction
of ssRARP, various modifications of this technique in surgical approaches, working
accesses and novel robotic platforms have been developed. The application of ssRARP
using the da Vinci SP platform has shown great superiority with encouraging clinical
outcomes.
Discussion
There has been a potential shift toward ssRARP using the da Vinci SP platform due
to its potential advantages in terms of lower blood loss, minimal postoperative pain,
better cosmetic outcome and rapid recovery. More convincing evidence, further technical
improvement and higher cost-effectiveness are needed for its widespread acceptance.
Keywords
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Article info
Publication history
Published online: March 13, 2023
Accepted:
March 12,
2023
Received in revised form:
February 27,
2023
Received:
January 18,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.
