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To prove the feasibility of continuous spinal extraperitoneal robot-assisted laparoscopic radical prostatectomy (cseRALP) in order to expand the pool of eligible patients. : According to IDEAL guidelines, a consecutive cohort of patients who underwent cseRALP was enrolled. Pre-, intra-, and post-operative data were collected, with particular focus on safety and oncological outcomes. : A total of three patients underwent this technique, with no intra- or post-operative medical complications. Only a grade 1 Clavien-Dindo complication was reported, small urinary leakage treated with an indwelling catheter. Oncological and functional results at month 3 were satisfactory, with no recurrence and no stress incontinence. : cseRALP seems to be feasible and safe; further trials are mandatory.
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http://dx.doi.org/10.3390/medicina60121973 | DOI Listing |
Cureus
July 2025
Urology, Saiseikai Yokohamashi Tobu Hospital, Yokohama, JPN.
Extraperitoneal single-port robot-assisted radical prostatectomy (SP-RARP) using the da Vinci SP system (Intuitive Surgical, Sunnyvale, CA, US) offers a less invasive alternative to multi-port RARP. However, a significant limitation is the system's reduced instrument force, which makes retraction and manipulation of large, heavy organs particularly challenging. As a result, SP-RARP for prostates over 100 g has been considered difficult and is rarely reported.
View Article and Find Full Text PDFZhonghua Nan Ke Xue
September 2024
Department of Urology, Nanjing School of Clinical Medicine, Southern Medical University / General Hospital of Eastern Theater Command, Nanjing, Jiangsu 210002, China. .
Objective: To investigate the clinical effect of extraperitoneal robot-assisted laparoscopic modified Y-V plasty (LMYVP) in the treatment of refractory bladder neck contracture (BNC).
Methods: We retrospectively analyzed the clinical data on 10 cases of refractory BNC after transurethral resection of the prostate between September 2020 and January 2023, all with a history of recurrent urethral dilatation and at least two failures in transurethral surgical treatment of scarring. After definite diagnosis and removal of some of the scar tissues to flatten the elevated bladder neck under the cystoscope, we performed robot-assisted LMYVP using the da Vinci Si robotic system and a four-port extraperitoneal approach.
Urol Pract
July 2025
Department of Urology, University of Illinois at Chicago, Chicago, Illinois.
Introduction: To evaluate the role of supine extraperitoneal single-port radical prostatectomy on intraoperative ventilatory and cardiovascular parameters and on surgical outcomes compared with a cohort of patients treated with the Trendelenburg-associated transperitoneal approach.
Methods: Data from all consecutive patients who underwent radical prostatectomy between September 2019 and January 2024 were prospectively collected and retrospectively analyzed. Patients were divided into 2 groups based on the surgical approach: single-port supine extraperitoneal (SP-EP-RARP) and multi-port or single-port transperitoneal (MP-TP-RARP or SP-TP-RARP) radical prostatectomy.
Eur Urol Open Sci
August 2025
Department of Urology, University of Illinois at Chicago, Chicago, IL, USA.
Background And Objective: Multiport robotic management of distal ureteral strictures is still burdened by the mandatory transperitoneal approach and the steep Trendelenburg patient position. Our aim was to describe the largest series of patients treated with single-port robot-assisted ureteral reimplantation (SP-RAUR) via a supine extraperitoneal approach, with a focus on the surgical technique, perioperative surgical outcomes, and functional results.
Methods And Surgical Procedure: Clinical and surgical data for all consecutive adult patients treated with SP-RAUR between January 2021 and September 2023 were prospectively collected.
J Abdom Wall Surg
July 2025
Department of Surgery, Maria Middelares Ghent, Ghent, Belgium.
Background: This systematic review and meta-analysis compares robotic eTEP and TARM/TARUP in terms of complications, operative time, infections, length of stay, seroma, and short-term recurrence rates.
Methods: A systematic review was conducted following PRISMA guidelines, searching MEDLINE, Embase, and CENTRAL until January 30, 2025. Studies comparing r-eTEP and r-TARM/TARUP in adults with ventral hernia were included.