Single-port robotic system - a paradigm shift in robot-assisted radical prostatectomy?

Expert review of medical devices Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI:10.1080/17434440.2025.2499661
Oleksii Pisotskyi, Piotr Petrasz, Piotr Zorga, Marcin Gałęski, Paweł Szponar, Krzysztof Koper, Katarzyna Brzeżniakiewicz-Janus, Tomasz Drewa, Krzysztof Kaczmarek, Michał Cezary Czarnogórski, Jan Adamowicz
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Abstract

Introduction: Robotic-assisted radical prostatectomy (RARP) has become a cornerstone in the surgical management of prostate cancer. This study evaluates the potential of the Da Vinci single-port (SP) system, which represents a significant advancement in minimally invasive surgery.

Areas covered: A narrative review was conducted using PubMed and Scopus databases to identify relevant studies published between January 2018 and February 2025. Search terms included 'single-port robotic prostatectomy,' 'Da Vinci SP system,' and 'robot-assisted radical prostatectomy.' Studies comparing SP and multi-port (MP) systems were prioritized. The SP system is discussed in terms of its technical innovations, including 360° operative field visualization, integrated optics and instruments, and enhanced depth perception. Clinical benefits, such as reduced blood loss, faster recovery, improved cosmetic outcomes, and reduced surgical trauma, are highlighted. Comparisons are drawn between the SP and multi-port systems, focusing on oncological and functional outcomes, as well as the challenges associated with the SP system's steeper learning curve.

Expert opinion: The SP system holds great promise in advancing patient care in RARP, particularly through its minimally invasive approach. While achieving comparable outcomes to MP systems, it uniquely reduces surgical trauma. However, successful implementation requires overcoming technical challenges and adapting to the learning curve. Future research should focus on refining the technology and exploring its long-term impact on clinical outcomes.

单端口机器人系统——机器人辅助根治性前列腺切除术的范式转变?
机器人辅助根治性前列腺切除术(RARP)已成为前列腺癌外科治疗的基石。本研究评估了达芬奇单端口(SP)系统的潜力,该系统代表了微创手术的重大进步。涵盖领域:使用PubMed和Scopus数据库进行叙述性综述,以确定2018年1月至2025年2月期间发表的相关研究。搜索词包括“单端口机器人前列腺切除术”、“达芬奇SP系统”和“机器人辅助根治性前列腺切除术”。比较SP和多端口(MP)系统的研究被优先考虑。讨论了SP系统的技术创新,包括360°操作视场可视化、集成光学和仪器以及增强的深度感知。临床效益,如减少失血,更快的恢复,改善美容效果,减少手术创伤,被强调。将SP系统与多端口系统进行比较,重点关注肿瘤和功能结果,以及SP系统更陡峭的学习曲线带来的挑战。专家意见:SP系统在推进RARP患者护理方面具有很大的希望,特别是通过其微创方法。在达到与MP系统相当的结果的同时,它独特地减少了手术创伤。然而,成功的实现需要克服技术挑战并适应学习曲线。未来的研究应侧重于改进该技术并探索其对临床结果的长期影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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