Mp37-06 Perioperative Complications of Single-Port and Multi-Port Robotic Radical Prostatectomy: A Single-Institutional Comparison Analysis

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy I (MP37)1 May 2024MP37-06 PERIOPERATIVE COMPLICATIONS OF SINGLE-PORT AND MULTI-PORT ROBOTIC RADICAL PROSTATECTOMY: A SINGLE-INSTITUTIONAL COMPARISON ANALYSIS Nicolas A. Soputro, Jaya S. Chavali, Carter Mikesell, Adriana M. Pedraza, Roxana Ramos-Carpinteyro, and Jihad Kaouk Nicolas A. SoputroNicolas A. Soputro , Jaya S. ChavaliJaya S. Chavali , Carter MikesellCarter Mikesell , Adriana M. PedrazaAdriana M. Pedraza , Roxana Ramos-CarpinteyroRoxana Ramos-Carpinteyro , and Jihad KaoukJihad Kaouk View All Author Informationhttps://doi.org/10.1097/01.JU.0001008948.02935.01.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: With the continuing evolution of minimally invasive surgical techniques and with growing interest to push the boundaries towards improved perioperative and functional outcomes, recent years have seen the introduction of the novel purpose-built Single-Port (SP) robotic system. The benefits of the novel technique have been previously demonstrated, including its utility in facilitating same-day discharge, reducing postoperative opioid requirements, as well as in patients where conventional techniques may present some challenges. The aim of this present study was to compare the perioperative morbidity associated with SP and Multi-Port (MP) robotic radical prostatectomy (RARP). METHODS: A retrospective review was performed on 911 patients who underwent RARP by a single surgeon between January 2015 and May 2023. At our institution, SP-RARP has been performed since October 2018 with Extraperitoneal (EP) and Transvesical (TV) techniques using the purpose-built Da Vinci SP robotic platform. For the purpose of our study, only MP-RARP cases performed prior to October 2018 were included to evaluate for any differences in perioperative complication and hospital readmission within 90 days compared to the SP cohort. Baseline clinical and perioperative variables were collected. Statistical analysis was performed with R Packages for Statistical Computing with descriptive statistics as presented. RESULTS: Of the 484 SP and 322 MP-RARP cases included in our analysis, one intraoperative complication was reported, which pertained to a small enterotomy during TV SP-RARP. Postoperative complications were identified in 14.5% and 14.6% of SP and MP-RARP cases (p=0.989), respectively, with the majority being minor complications. Major complications of Clavien-Dindo 3a and above represent 4.1% of SP and 3.4% of the MP cohorts. The 90-day rates of hospital readmission following SP and MP-RARP were 5.6% and 4.9%, respectively (p=0.717). We did not find any statistically significant differences in the postoperative complication and readmission rates between the EP and TV approaches of SP-RARP. CONCLUSIONS: This comparative study provided evidence highlighting the low rates of intraoperative complication, postoperative complication and readmission following SP-RARP that were comparable to the TP MP approach. The low morbidity associated with EP and TV SP-RARP in this series further supports the wider application of SP-RARP as one of the contemporary minimally-invasive surgical treatment armamentariums for prostate cancer. Source of Funding: No funding was received for this study © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e604 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Nicolas A. Soputro More articles by this author Jaya S. Chavali More articles by this author Carter Mikesell More articles by this author Adriana M. Pedraza More articles by this author Roxana Ramos-Carpinteyro More articles by this author Jihad Kaouk More articles by this author Expand All Advertisement PDF downloadLoading ...