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Single port radical prostatectomy: current status

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Abstract

The aim of this study is to analyze the current literature on single port radical prostatectomy (LESS-RP). Single port radical prostatectomy laparoendoscopic (LESS-RP) has established itself as a challenge for urological community, starting with the proposal of different approaches: extraperitoneal, transperitoneal and transvesical, initially described for laparoscopy and then laparoscopy robot-assisted. In order to improve the LESS-RP, new instruments, optical devices, trocars and retraction mechanisms have been developed. Advantages and disadvantages of LESS-RP are controversial, while some claim that it is a non-trustable approach, regarding the low cases number and technical difficulties, others acclaim that despite this facts some advantages have been shown and that previous described difficulties are being overcome, proving this is novel proposal of robotics platform, the Da Vinci SP, integrating the system into “Y”. The LESS-RP approach gives us a new horizon and opens the door for rapid standardization of this technique. The few studies and short series available can be result of a low interest in the application of LESS-RP in prostate, probably because of the technical complexity that it requires. The new robotic platform, the da Vinci SP, shows that it is clear that the long awaited evolution of robotic technologies for laparoscopy has begun, and we must not lose this momentum.

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Acknowledgments

Nelly Romero and Reinaldo Pacheco

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Authors and Affiliations

  1. Fundación de Ciencias de la Salud Hospital de San Jose, Bogotá, Colombia

    Oscar Darío Martín, Rafael Clavijo & Camilo Gidelman

  2. Urology Department, King Abdulaziz University, Jeddah, Saudi Arabia

    Raed A. Azhar

  3. Keck School of Medicine, Center for Advanced Robotic Surgery, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA

    Raed A. Azhar & René Sotelo

  4. Instituto Médico La Floresta, Centro de Cirugía Robótica y de Invasión Mínima-CIMI, Caracas, Venezuela

    Oscar Darío Martín, Luis Medina, Nelson Ramirez Troche, Leonardo Brunacci & René Sotelo

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  1. Oscar Darío Martín
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  2. Raed A. Azhar
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  3. Rafael Clavijo
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  8. René Sotelo
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Correspondence to Oscar Darío Martín.

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The authors Oscar Darío Martín, Raed A. Azhar, Rafael Clavijo, Camilo Gidelman, Luis Medina, Nelson Ramirez Troche, Leonardo Brunacci, René Sotelo declare that they have no conflict of interest.

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Martín, O.D., Azhar, R.A., Clavijo, R. et al. Single port radical prostatectomy: current status. J Robotic Surg 10, 87–95 (2016). https://doi.org/10.1007/s11701-016-0589-5

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  • DOI: https://doi.org/10.1007/s11701-016-0589-5

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