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Single-Port Approach to Kidney Surgery

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Robotic Urologic Surgery

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.

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References

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Wilson CA, Aminsharifi A, Sawczyn G, et al. Outpatient Extraperitoneal single-port robotic radical prostatectomy. Urology. 2020;144:142–6.

    Article  PubMed  Google Scholar 

  4. 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.

    Article  PubMed  Google Scholar 

  5. Nelson RJ, Chavali JSS, Yerram N, Babbar P, Kaouk JH. Current status of robotic single-port surgery. Urol Ann. 2017;9(3):217–22.

    Article  PubMed  PubMed Central  Google Scholar 

  6. 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.

    Article  PubMed  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  9. 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.

    Article  PubMed  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. 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.

    Article  PubMed  Google Scholar 

  12. 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.

    Article  PubMed  Google Scholar 

  13. 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.

    Article  PubMed  Google Scholar 

  14. 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.

    Article  PubMed  Google Scholar 

  15. 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.

    Article  PubMed  Google Scholar 

  16. 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.

    Article  PubMed  Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

  18. 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.

    Article  PubMed  Google Scholar 

  19. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  20. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  21. 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.

    Article  PubMed  Google Scholar 

  22. 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.

    Article  PubMed  Google Scholar 

  23. 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.

    Article  PubMed  Google Scholar 

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Disclosures

Dr. Jihad Kaouk has a consultant agreement with Intuitive Surgical.

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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

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  • DOI: https://doi.org/10.1007/978-3-031-00363-9_48

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-00362-2

  • Online ISBN: 978-3-031-00363-9

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