V09-08 Single Port Radical Prostatectomy Comparing Shurui Sp and Da Vinci Sp Robots: Technology Illustration and Intraoperative Performances

You have accessJournal of UrologyProstate Oncology/Penile & Testis Oncology/Misc. Oncology I (V09)1 May 2024V09-08 SINGLE PORT RADICAL PROSTATECTOMY COMPARING SHURUI SP AND DA VINCI SP ROBOTS: TECHNOLOGY ILLUSTRATION AND INTRAOPERATIVE PERFORMANCES Zhenjie Wu, Zheng Wang, Linhui Wang, Evan Patel, and Marcio Covas Moschovas Zhenjie WuZhenjie Wu , Zheng WangZheng Wang , Linhui WangLinhui Wang , Evan PatelEvan Patel , and Marcio Covas MoschovasMarcio Covas Moschovas View All Author Informationhttps://doi.org/10.1097/01.JU.0001009528.33572.9e.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The single port (SP) approach to robotic-assisted radical prostatectomy have expanded after the da Vinci SP platform release in 2018. In consequence, these technological advancements provided conditions to novel robotic platforms in the recent years. Our video aims to illustrate and compare the radical prostatectomy step-by-step technique using the da Vinci SP and Shurui SP robots. METHODS: We presented a video compilation describing the details of the SP approach to radical prostatectomy using the da Vinci SP and Shurui SP robots since the trocar placement until the anastomosis. RESULTS: Both robots are able to operate using a pure single trocar or an assistant port on the right lower quadrant. When using the extraperitoneal approach, the robotic trocar is placed on the midline under the umbilicus, while the transperitoneal technique has the trocar higher than the umbilical scar. The da Vinci instruments consist of three arms with 6-millimeter instruments with two points of articulation and an oval-shaped scope (1×1.2 cm), while the Shurui SP has three arms with 8 millimeters with one articulation point and a round-shaped scope with 10 mm. The instrument setup is similar to both robots (Bipolar on the left, scissors on the right, and Cadiere on the center). Some modifications are evident in the Shurui SP robot regarding hand controls, four arms instead of a single tower, instrument articulation, and scope angulations. After dropping the bladder, we access the anterior bladder neck with bipolar and scissors. Then, the prostate is lifted by the Foley catheter, and the posterior bladder neck is accessed until the seminal vesicles (SV) plane. After clipping the SV with Hem-o-lock, we perform the posterior prostate dissection and nerve-sparing between the Denonvilliers fascia layers. The lateral prostatic dissection is performed, preserving the lateral prostatic fascia, and the vascular pedicles are controlled with Hem-o-lock clips. Furthermore, we perform the apical dissection underneath the puboprostatic ligaments and incise the urethra with cold scissors. The DVC is controlled with a barbed running suture. Finally, we complete the posterior reconstruction and anastomosis with a bidirectional barbed suture. CONCLUSIONS: Our video illustrates the Single Port approach to radical prostatectomy using the da Vinci SP and Shurui SP robotic platforms. Both provided safe and feasible procedures and some structural differences are evident in the Shurui SP platform in terms of platform model with four arms, hand control, instrument management, and articulations. However, the patient positioning, trocar placement, and surgical steps are similar in both. Studies are on the way to compare surgical outcomes. Source of Funding: Supported by the National Natural Science Foundation of China (82072825, and 82373253 to Zhenjie Wu) and the Shuguang Program of Shanghai Education Development Foundation and Shanghai Municipal Education Commission (22SG35 to Zhenjie Wu) © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e637 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Zhenjie Wu More articles by this author Zheng Wang More articles by this author Linhui Wang More articles by this author Evan Patel More articles by this author Marcio Covas Moschovas More articles by this author Expand All Advertisement PDF downloadLoading ...