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A Comparison of Perioperative Outcomes Between Single-port and Multiport Robot-assisted Laparoscopic Prostatectomy.

Publication ,  Journal Article
Vigneswaran, HT; Schwarzman, LS; Francavilla, S; Abern, MR; Crivellaro, S
Published in: Eur Urol
June 2020

Single-port (SP) robot-assisted laparoscopic prostatectomy (RALP) appears to be a safe and feasible approach for radical prostatectomy, but no prior studies have compared SP-RALP to a multiport (MP) platform. Using retrospective data from a single-center tertiary institution we compare 50 consecutive SP-RALP patients (da Vinci SP) to a contemporary cohort of 113 patients who underwent MP-RALP (da Vinci Xi). We found no significant differences in surgical or total operating room time. Pain scores were measured on a scale from 0 to 10. There were more pain-free patients on postoperative day 1 (18% difference, 95% confidence interval [CI] 9.9-27%) and there were shorter hospital stays (-1 d, 95% CI -1.0 to 0) in favor of SP. There were no significant differences in inpatient total morphine equivalents used, complication rates, or stress incontinence determined at a minimum of 90 d. These findings show that the learning curve for SP-RALP is relatively short for an experienced robotic surgeon and may favor better pain control and shorter hospitalization. PATIENT SUMMARY: We analyzed the differences in robotic surgery for localized prostate cancer using a single-port robotic platform compared to the traditional multiport robotic platform. We did not find significant differences in operative times, but significantly more patients were pain-free on the first postoperative day and had shorter hospital stays.

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Published In

Eur Urol

DOI

EISSN

1873-7560

Publication Date

June 2020

Volume

77

Issue

6

Start / End Page

671 / 674

Location

Switzerland

Related Subject Headings

  • Urology & Nephrology
  • Treatment Outcome
  • Robotic Surgical Procedures
  • Retrospective Studies
  • Prostatic Neoplasms
  • Prostatectomy
  • Middle Aged
  • Male
  • Laparoscopy
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Vigneswaran, H. T., Schwarzman, L. S., Francavilla, S., Abern, M. R., & Crivellaro, S. (2020). A Comparison of Perioperative Outcomes Between Single-port and Multiport Robot-assisted Laparoscopic Prostatectomy. Eur Urol, 77(6), 671–674. https://doi.org/10.1016/j.eururo.2020.03.031
Vigneswaran, Hari T., Logan S. Schwarzman, Simone Francavilla, Michael R. Abern, and Simone Crivellaro. “A Comparison of Perioperative Outcomes Between Single-port and Multiport Robot-assisted Laparoscopic Prostatectomy.Eur Urol 77, no. 6 (June 2020): 671–74. https://doi.org/10.1016/j.eururo.2020.03.031.
Vigneswaran HT, Schwarzman LS, Francavilla S, Abern MR, Crivellaro S. A Comparison of Perioperative Outcomes Between Single-port and Multiport Robot-assisted Laparoscopic Prostatectomy. Eur Urol. 2020 Jun;77(6):671–4.
Vigneswaran, Hari T., et al. “A Comparison of Perioperative Outcomes Between Single-port and Multiport Robot-assisted Laparoscopic Prostatectomy.Eur Urol, vol. 77, no. 6, June 2020, pp. 671–74. Pubmed, doi:10.1016/j.eururo.2020.03.031.
Vigneswaran HT, Schwarzman LS, Francavilla S, Abern MR, Crivellaro S. A Comparison of Perioperative Outcomes Between Single-port and Multiport Robot-assisted Laparoscopic Prostatectomy. Eur Urol. 2020 Jun;77(6):671–674.
Journal cover image

Published In

Eur Urol

DOI

EISSN

1873-7560

Publication Date

June 2020

Volume

77

Issue

6

Start / End Page

671 / 674

Location

Switzerland

Related Subject Headings

  • Urology & Nephrology
  • Treatment Outcome
  • Robotic Surgical Procedures
  • Retrospective Studies
  • Prostatic Neoplasms
  • Prostatectomy
  • Middle Aged
  • Male
  • Laparoscopy
  • Humans