Pd61-09 Comparison Between Three Contemporary Approaches of Single-Port Robotic Radical Prostatectomy: A Report From the Single-Port Advanced Research Consortium Involving 1800 Patients

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy IV (PD61)1 May 2024PD61-09 COMPARISON BETWEEN THREE CONTEMPORARY APPROACHES OF SINGLE-PORT ROBOTIC RADICAL PROSTATECTOMY: A REPORT FROM THE SINGLE-PORT ADVANCED RESEARCH CONSORTIUM INVOLVING 1800 PATIENTS Nicolas A. Soputro, Roxana Ramos-Carpinteyro, Ruben S. Calvo, Marcio C. Moschovas, Celeste Manfredi, Michael Raver, Kennedy Okhawere, Yuzhi Wang, Elizabeth Snajdar, Adriana M. Pedraza, Carter Mikesell, Jaya S. Chavali, Mustafa Almajedi, Adam Lorentz, Bertram Yuh, Jeffrey Nix, Jean Joseph, Moses Kim, Craig Rogers, Ketan K. Badani, Ryan Nelson, Vipul Patel, Mutahar Ahmed, Michael Stifelman, Riccardo Autorino, Simone Crivellaro, and Jihad Kaouk Nicolas A. SoputroNicolas A. Soputro , Roxana Ramos-CarpinteyroRoxana Ramos-Carpinteyro , Ruben S. CalvoRuben S. Calvo , Marcio C. MoschovasMarcio C. Moschovas , Celeste ManfrediCeleste Manfredi , Michael RaverMichael Raver , Kennedy OkhawereKennedy Okhawere , Yuzhi WangYuzhi Wang , Elizabeth SnajdarElizabeth Snajdar , Adriana M. PedrazaAdriana M. Pedraza , Carter MikesellCarter Mikesell , Jaya S. ChavaliJaya S. Chavali , Mustafa AlmajediMustafa Almajedi , Adam LorentzAdam Lorentz , Bertram YuhBertram Yuh , Jeffrey NixJeffrey Nix , Jean JosephJean Joseph , Moses KimMoses Kim , Craig RogersCraig Rogers , Ketan K. BadaniKetan K. Badani , Ryan NelsonRyan Nelson , Vipul PatelVipul Patel , Mutahar AhmedMutahar Ahmed , Michael StifelmanMichael Stifelman , Riccardo AutorinoRiccardo Autorino , Simone CrivellaroSimone Crivellaro , and Jihad KaoukJihad Kaouk View All Author Informationhttps://doi.org/10.1097/01.JU.0001009352.31737.3d.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The improved maneuverability of the purpose-built Single-Port (SP) robotic platform has allowed for expanded armamentarium of robotic radical prostatectomy (RARP) approaches. The aim of this study was to evaluate for differences between three commonly used techniques of SP-RARP, namely Transperitoneal (TP), Extraperitoneal (EP), and Transvesical (TV), based on a large multi-institutional series. METHODS: A retrospective review was performed on the prospectively maintained, IRB-approved database of the Single-Port Advanced Research Consortium (SPARC) to identify all patients who underwent SP-RARP between 2018 to 2023. Baseline clinicodemographic, perioperative, and postoperative data were evaluated and categorized based on the three different approaches of SP-RARP. RESULTS: A total of 1802 patients were included, which comprised 563, 978, and 260 cases of TP, EP, and TV SP-RARP, respectively. Despite the similarities in age and BMI, history of previous abdominal surgery was more prevalent in the TV cohort (p<0.05). Higher-grade diseases were more commonly referred for TP or EP techniques. Intraoperatively, the TV approach was associated with the least amount of intraoperative blood loss and the need for additional ports. All procedures were completed successfully without the need for conversion. Intraoperative complications were identified in 1.4%, 0.5%, and 0.4% of the TP, EP, and TV cases, respectively. TV SP-RARP was associated with earlier, opioid-sparing discharge (p<0.05) and a significantly reduced Foley catheter duration (p<0.05). The shorter length of stay did not translate to increased risks of postoperative complication (p=0.144) and readmission (p=0.127). At a median follow-up duration of 12 months, earlier return of continence was achieved following TV SP-RARP and oncological outcomes remained favorable across the three groups. CONCLUSIONS: Herein, we reported the outcomes of three contemporary approaches of SP-RARP, with added values towards enhancing patient comfort and postoperative recovery. Compared with the other techniques, the TV approach was associated with a significantly shorter length of stay, Foley catheter duration, and earlier return of urinary continence. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1283 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Nicolas A. Soputro More articles by this author Roxana Ramos-Carpinteyro More articles by this author Ruben S. Calvo More articles by this author Marcio C. Moschovas More articles by this author Celeste Manfredi More articles by this author Michael Raver More articles by this author Kennedy Okhawere More articles by this author Yuzhi Wang More articles by this author Elizabeth Snajdar More articles by this author Adriana M. Pedraza More articles by this author Carter Mikesell More articles by this author Jaya S. Chavali More articles by this author Mustafa Almajedi More articles by this author Adam Lorentz More articles by this author Bertram Yuh More articles by this author Jeffrey Nix More articles by this author Jean Joseph More articles by this author Moses Kim More articles by this author Craig Rogers More articles by this author Ketan K. Badani More articles by this author Ryan Nelson More articles by this author Vipul Patel More articles by this author Mutahar Ahmed More articles by this author Michael Stifelman More articles by this author Riccardo Autorino More articles by this author Simone Crivellaro More articles by this author Jihad Kaouk More articles by this author Expand All Advertisement PDF downloadLoading ...