Abstract
Single-port robotic surgery is rapidly adopted in the urology community for upper tract urological procedures, with potential benefits such as less postoperative morbidity, a shorter hospital stay, and faster recovery compared to conventional approaches. The multi-quadrant feature of this platform is very helpful to perform partial nephrectomy through single-site retroperitoneal access, irrespective of the tumor location. Similarly, the surgeon can approach the ureteropelvic junction for pyeloplasty through a Pfannenstiel abdominal incision. In this chapter, we describe the potential application of single-port robotic surgery for partial nephrectomy and pyeloplasty as common upper tract surgical procedures. Technical details of single-port retroperitoneal robotic partial nephrectomy and single-port robotic pyeloplasty through Pfannenstiel’s abdominal incision will be discussed. As emerging techniques in this field, both approaches can potentially offer a less morbid surgical procedure with a short hospital stay and a rapid convalescence period.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Sathianathen NJ, Lamb AD, Lawrentschuk NL, et al. Changing face of robot-assisted radical prostatectomy in Melbourne over 12 years. ANZ J Surg. 2018;88(3):E200–3.
Walsh AL, Dasgupta P. A comparative analysis of single port versus multi-port robotic assisted radical prostatectomy for prostate cancer. Investig Clin Urol. 2020;61(4):335–7.
Wilson CA, Aminsharifi A, Sawczyn G, et al. Outpatient Extraperitoneal single-port robotic radical prostatectomy. Urology. 2020;144:142–6.
Kaouk J, Aminsharifi A, Wilson CA, et al. Extraperitoneal versus transperitoneal single port robotic radical prostatectomy: a comparative analysis of perioperative outcomes. J Urol. 2020;203(6):1135–40.
Nelson RJ, Chavali JSS, Yerram N, Babbar P, Kaouk JH. Current status of robotic single-port surgery. Urol Ann. 2017;9(3):217–22.
Bertolo R, Garisto J, Gettman M, Kaouk J. Novel system for robotic single-port surgery: feasibility and state of the art in urology. Eur Urol Focus. 2018;4(5):669–73.
Maurice MJ, Ramirez D, Kaouk JH. Robotic laparoendoscopic single-site retroperitoneal renal surgery: initial investigation of a purpose-built single-port surgical system. Eur Urol. 2017;71(4):643–7.
Kaouk J, Garisto J, Eltemamy M, Bertolo R. Pure single-site robot-assisted partial nephrectomy using the SP surgical system: initial clinical experience. Urology. 2019;124:282–5.
Na JC, Lee HH, Yoon YE, Jang WS, Choi YD, Rha KH, Han WK. True single-site partial nephrectomy using the SP surgical system: feasibility, comparison with the Xi single-site platform, and step-by-step procedure guide. J Endourol. 2020;34(2):169–74.
Fang AM, Saidian A, Magi-Galluzzi C, Nix JW, Rais-Bahrami S. Single-port robotic partial and radical nephrectomies for renal cortical tumors: initial clinical experience. J Robot Surg. 2020;14(5):773–80.
Shukla D, Small A, Mehrazin R, Palese M. Single-port robotic-assisted partial nephrectomy: initial clinical experience and lessons learned for successful outcomes. J Robot Surg. 2021;15(2):293–8.
Xia L, Zhang X, Wang X, Xu T, Qin L, Zhang X, Zhong S, Shen Z. Transperitoneal versus retroperitoneal robot-assisted partial nephrectomy: a systematic review and meta-analysis. Int J Surg. 2016;30:109–15.
Mittakanti HR, Heulitt G, Li HF, Porter JR. Transperitoneal vs. retroperitoneal robotic partial nephrectomy: a matched-paired analysis. World J Urol. 2020;38(5):1093–9.
Lenfant L, Kim S, Aminsharifi A, Sawczyn G, Kaouk J. Floating docking technique: a simple modification to improve the working space of the instruments during single-port robotic surgery. World J Urol. 2021;39(4):1299–305.
Shumaker L, Rais-Bahrami S, Nix J. Renal hilar clamping with a standard robotic bulldog clamp using the single port da Vinci robot. Urology. 2020;145:297.
Gettman MT, Neururer R, Bartsch G, Peschel R. Anderson-Hynes dismembered pyeloplasty performed using the da Vinci robotic system. Urology. 2002;60(3):509–13.
Desai MM, Rao PP, Aron M, Pascal-Haber G, Desai MR, Mishra S, Kaouk JH, Gill IS. Scarless single-port transumbilical nephrectomy and pyeloplasty: first clinical report. BJU Int. 2008;101(1):83–8.
Kaouk JH, Goel RK, Haber GP, Crouzet S, Stein RJ. Robotic single-port transumbilical surgery in humans: initial report. BJU Int. 2009;103(3):366–9.
Billah MS, Stifelman M, Munver R, Tsui J, Lovallo G, Ahmed M. Single port robotic assisted reconstructive urologic surgery-with the da Vinci SP surgical system. Transl Androl Urol. 2020;9(2):870–8.
Steinberg RL, Johnson BA, Cadeddu JA. Ureteral reconstruction using the da Vinci SP robotic platform: an initial case series. J Endourol Case Rep. 2019;5(2):60–3.
Abaza R, Murphy C, Bsatee A, Brown DH Jr, Martinez O. Single-port robotic surgery allows same-day discharge in majority of cases. Urology. 2021;148:159–65.
Lenfant L, Wilson CA, Sawczyn G, Aminsharifi A, Kim S, Kaouk J. Single-port robot-assisted dismembered pyeloplasty with mini-Pfannenstiel or peri-umbilical access: initial experience in a single center. Urology. 2020;143:147–52.
Binsaleh S, Madbouly K, Matsumoto ED, Kapoor A. A prospective randomized study of Pfannenstiel versus expanded port site incision for intact specimen extraction in laparoscopic radical nephrectomy. J Endourol. 2015;29(8):913–8.
Disclosures
Dr. Jihad Kaouk has a consultant agreement with Intuitive Surgical.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Aminsharif, A., Abou Zeinab, M., Kaouk, J. (2022). Single-Port Approach to Kidney Surgery. In: Wiklund, P., Mottrie, A., Gundeti, M.S., Patel, V. (eds) Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-00363-9_48
Download citation
DOI: https://doi.org/10.1007/978-3-031-00363-9_48
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-00362-2
Online ISBN: 978-3-031-00363-9
eBook Packages: MedicineMedicine (R0)