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Erschienen in: World Journal of Urology 4/2020

28.08.2019 | Topic Paper

Single-port robotic surgery: the next generation of minimally invasive urology

verfasst von: Ryan W. Dobbs, Whitney R. Halgrimson, Susan Talamini, Hari T. Vigneswaran, Jessica O. Wilson, Simone Crivellaro

Erschienen in: World Journal of Urology | Ausgabe 4/2020

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Abstract

Introduction

The da Vinci Single-Port (SP) platform (Intuitive Surgical Inc, Sunnyvale CA) is a recently approved robotic surgical platform which features several novel modifications from previously available single trocar models including a flexible camera, articulating instruments, and navigator guidance for real-time monitoring of instrument position. We sought to describe our clinical experience with this device as well as to review the current literature related to the use of the SP platform.

Methods

We provide a narrative review of clinical data related to single-port robotic surgery within the field of urology. In addition, we report our initial clinical experience for surgical procedures performed with the SP platform between December 2018 and April 2019 following installation of the system at our institution.

Results

Currently, the presently available literature for single-port robotic urological surgery consists of single-center case reports and series. Most major robotic urologic operations appear technically feasible using the da Vinci SP platform; however, additional multi-center studies and randomized trials are needed to determine what role the SP platform will play.

Conclusions

Rather than an iterative step or a niche system, the SP platform provides for a new approach to single-site laparoscopic or robotic techniques and is demonstrated as a feasible approach for several major robotic urological operations. While comparative studies will be required to evaluate perioperative and long-term outcomes between SP and multi-port platforms, further technological advances will continue to push surgeons towards less morbid and more minimally invasive approaches for surgery.
Literatur
1.
Zurück zum Zitat McDougall EM, Clayman RV (1994) Advances in laparoscopic urology, Part I. History and development of procedures. Urology 43(4):420–426CrossRef McDougall EM, Clayman RV (1994) Advances in laparoscopic urology, Part I. History and development of procedures. Urology 43(4):420–426CrossRef
7.
Zurück zum Zitat Binder J, Kramer W (2001) Robotically-assisted laparoscopic radical prostatectomy. BJU Int 87(4):408–410CrossRef Binder J, Kramer W (2001) Robotically-assisted laparoscopic radical prostatectomy. BJU Int 87(4):408–410CrossRef
8.
Zurück zum Zitat Dobbs RW, Sofer L, Crivellaro S (2017) Starting a robotic surgery program. In: Rané A et al (eds) Practical tips in urology. Springer, London, pp 513–524CrossRef Dobbs RW, Sofer L, Crivellaro S (2017) Starting a robotic surgery program. In: Rané A et al (eds) Practical tips in urology. Springer, London, pp 513–524CrossRef
13.
31.
Zurück zum Zitat Talamini S, Halgrimson W, Dobbs R, Crivellaro S (2019) Single port radical prostatectomy versus xi multi-port radical prostatectomy: a human factor analysis. J Urol 201(Supplement 4):e1002–e1003 Talamini S, Halgrimson W, Dobbs R, Crivellaro S (2019) Single port radical prostatectomy versus xi multi-port radical prostatectomy: a human factor analysis. J Urol 201(Supplement 4):e1002–e1003
33.
Zurück zum Zitat Dobbs RW, Pandya S, Abern MR (2017) Robotics and Urologic Surgery. AUA Update Ser 36(22):211–220 Dobbs RW, Pandya S, Abern MR (2017) Robotics and Urologic Surgery. AUA Update Ser 36(22):211–220
Metadaten
Titel
Single-port robotic surgery: the next generation of minimally invasive urology
verfasst von
Ryan W. Dobbs
Whitney R. Halgrimson
Susan Talamini
Hari T. Vigneswaran
Jessica O. Wilson
Simone Crivellaro
Publikationsdatum
28.08.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
World Journal of Urology / Ausgabe 4/2020
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-019-02898-1

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