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Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study

OBJECTIVE: Robot-assisted radical prostatectomy (RARP) is a dynamically evolving technique with its new evolution of single-site RARP. Here we sought to describe our extraperitoneal technique, named the single-site multiport RARP (ssmpRARP) using the da Vinci Si(®) platform and compare it with the t...

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Autores principales: Hou, Weibin, Wang, Bingzhi, Zhou, Lei, Li, Lan, Li, Chao, Yuan, Peng, Ouyang, Wei, Yao, Hanyu, Huang, Jin, Yao, Kun, Wang, Long
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9554244/
https://www.ncbi.nlm.nih.gov/pubmed/36248365
http://dx.doi.org/10.3389/fsurg.2022.960605
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author Hou, Weibin
Wang, Bingzhi
Zhou, Lei
Li, Lan
Li, Chao
Yuan, Peng
Ouyang, Wei
Yao, Hanyu
Huang, Jin
Yao, Kun
Wang, Long
author_facet Hou, Weibin
Wang, Bingzhi
Zhou, Lei
Li, Lan
Li, Chao
Yuan, Peng
Ouyang, Wei
Yao, Hanyu
Huang, Jin
Yao, Kun
Wang, Long
author_sort Hou, Weibin
collection PubMed
description OBJECTIVE: Robot-assisted radical prostatectomy (RARP) is a dynamically evolving technique with its new evolution of single-site RARP. Here we sought to describe our extraperitoneal technique, named the single-site multiport RARP (ssmpRARP) using the da Vinci Si(®) platform and compare it with the transperitoneal conventional multiport RARP (cmpRARP). MATERIALS AND METHODS: Data were retrospectively collected for patients who underwent RARP for localized prostate cancer from June 2020 to January 2022 in a single center. Propensity score matching was performed based on age, prostate size, body mass index, neoadjuvant hormonal therapy usage, prostate-specific antigen levels, and clinical T stage. The differences between the matched two groups were investigated. RESULTS: Of the patients, 20 underwent ssmpRARP and 42 underwent cmpRARP during the period. After matching, 18 patients from each group were selected. Median follow-up was 7.8 months (2–12 months) for the ssmpRARP group, and 15.0 months (3–26 months) for cmpRARP. The demographic features between the two groups were comparable. The median total operative time, estimated blood loss, pathologic data, early follow-up outcomes, and hospitalization stays and costs were similar between the two groups. The ssmpRARP group tended to return to their bowel activities earlier (44.78 ± 10.83 h vs. 54.89 ± 12.97 h, p = 0.016). There were no significant differences in complication rates. CONCLUSIONS: We demonstrated the feasibility and safety of performing extraperitoneal ssmpRARP using the da Vinci Si(®) robotic platform. Our technique showed comparable short-term outcomes with the transperitoneal cmpRARP. Prospective trials and long-term follow-up are necessary to confirm these results.
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spelling pubmed-95542442022-10-13 Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study Hou, Weibin Wang, Bingzhi Zhou, Lei Li, Lan Li, Chao Yuan, Peng Ouyang, Wei Yao, Hanyu Huang, Jin Yao, Kun Wang, Long Front Surg Surgery OBJECTIVE: Robot-assisted radical prostatectomy (RARP) is a dynamically evolving technique with its new evolution of single-site RARP. Here we sought to describe our extraperitoneal technique, named the single-site multiport RARP (ssmpRARP) using the da Vinci Si(®) platform and compare it with the transperitoneal conventional multiport RARP (cmpRARP). MATERIALS AND METHODS: Data were retrospectively collected for patients who underwent RARP for localized prostate cancer from June 2020 to January 2022 in a single center. Propensity score matching was performed based on age, prostate size, body mass index, neoadjuvant hormonal therapy usage, prostate-specific antigen levels, and clinical T stage. The differences between the matched two groups were investigated. RESULTS: Of the patients, 20 underwent ssmpRARP and 42 underwent cmpRARP during the period. After matching, 18 patients from each group were selected. Median follow-up was 7.8 months (2–12 months) for the ssmpRARP group, and 15.0 months (3–26 months) for cmpRARP. The demographic features between the two groups were comparable. The median total operative time, estimated blood loss, pathologic data, early follow-up outcomes, and hospitalization stays and costs were similar between the two groups. The ssmpRARP group tended to return to their bowel activities earlier (44.78 ± 10.83 h vs. 54.89 ± 12.97 h, p = 0.016). There were no significant differences in complication rates. CONCLUSIONS: We demonstrated the feasibility and safety of performing extraperitoneal ssmpRARP using the da Vinci Si(®) robotic platform. Our technique showed comparable short-term outcomes with the transperitoneal cmpRARP. Prospective trials and long-term follow-up are necessary to confirm these results. Frontiers Media S.A. 2022-09-28 /pmc/articles/PMC9554244/ /pubmed/36248365 http://dx.doi.org/10.3389/fsurg.2022.960605 Text en © 2022 Hou, Wang, Zhou, Li, Li, Yuan, Ouyang, Yao, Huang, Yao and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Hou, Weibin
Wang, Bingzhi
Zhou, Lei
Li, Lan
Li, Chao
Yuan, Peng
Ouyang, Wei
Yao, Hanyu
Huang, Jin
Yao, Kun
Wang, Long
Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study
title Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study
title_full Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study
title_fullStr Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study
title_full_unstemmed Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study
title_short Single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: A propensity score matching comparative study
title_sort single-site multiport vs. conventional multiport robot-assisted radical prostatectomy: a propensity score matching comparative study
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9554244/
https://www.ncbi.nlm.nih.gov/pubmed/36248365
http://dx.doi.org/10.3389/fsurg.2022.960605
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