Da Vinci SP radical prostatectomy: a multicentric collaboration and step-by-step techniques

Area of Science:

• Urology
• Surgical Technology
• Robotics

Background:

• The da Vinci SP (Single Port) robotic system, FDA-cleared in 2018, offers advanced capabilities for radical prostatectomy.
• Limited adoption in the US and Asia is attributed to its recent market release, necessitating guidance for new centers.

Discussion:

• This video compilation presents a consensus on current da Vinci SP Radical Prostatectomy (SP-RARP) approaches from referral centers.
• Five distinct surgical techniques are illustrated: transperitoneal, extraperitoneal, Retzius-sparing, transvesical, and transperineal.

Key Insights:

• All demonstrated SP-RARP techniques prioritize anatomical precision to minimize positive surgical margins and enhance oncological and functional recovery.
• Surgeries exhibited no intra- or postoperative complications, with narcotic-free pain management and rapid discharge (under 16 hours).

Outlook:

• The da Vinci SP system is proven feasible and safe for radical prostatectomy, yielding excellent perioperative results.
• Detailed technical insights from this multicentric collaboration are vital for institutions initiating the SP approach to radical prostatectomy.