MP57-10 SINGLE-PORT EXTRAPERITONEAL ROBOTIC-ASSISTED RADICAL PROSTATECTOMY: A MULTI-INSTITUTIONAL COHORT STUDY

Abstract

You have accessJournal of UrologyCME1 May 2022MP57-10 SINGLE-PORT EXTRAPERITONEAL ROBOTIC-ASSISTED RADICAL PROSTATECTOMY: A MULTI-INSTITUTIONAL COHORT STUDY Mahmoud Abou Zeinab, Ethan Ferguson, Aaron Kaviani, Alp T. Beksac, Luca Morgantini, Susan Talamini, Jean Joseph, Moses Kim, Simone Crivellaro, Jeffrey Nix, and Jihad Kaouk Mahmoud Abou ZeinabMahmoud Abou Zeinab More articles by this author , Ethan FergusonEthan Ferguson More articles by this author , Aaron KavianiAaron Kaviani More articles by this author , Alp T. BeksacAlp T. Beksac More articles by this author , Luca MorgantiniLuca Morgantini More articles by this author , Susan TalaminiSusan Talamini More articles by this author , Jean JosephJean Joseph More articles by this author , Moses KimMoses Kim More articles by this author , Simone CrivellaroSimone Crivellaro More articles by this author , Jeffrey NixJeffrey Nix More articles by this author , and Jihad KaoukJihad Kaouk More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002640.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic-assisted radical prostatectomy through the extraperitoneal approach has increased in popularity after the introduction of the single-port (SP) da Vinci platform. We sought to evaluate the perioperative and postoperative outcomes in a multi-institutional setting. METHODS: From February 2019 to October 2021, data of 412 patients who underwent SP extraperitoneal radical prostatectomy (ERP) in five different institutions were prospectively collected. All procedures were performed by surgeons with extensive robotic and SP experience. Baseline demographics, intraoperative, functional, and short oncological outcomes were evaluated. RESULTS: The median follow-up was time was 8 months. The median cohort age, BMI, and preoperative PSA were 64 years, 29 kg/m2, and 6.6 ng/mL respectively. 23.8% of the cohort were at high-risk prostate cancer according to the NCCN classification. Almost 30% of the patients had at least one previous abdominal surgery. The median operative time and estimated blood loss were 205 minutes and 150 cc, respectively. A nerve-sparing approach was performed in more than 90% of the patients and 3 cases had peritoneal breach. On pathology, the positive surgical margins were 26.8% and the median lymph node yield was 6 nodes. Most of the patients were discharged a few hours after the surgery with a median pain score of 2. In the postoperative phase, 50% and 90% of the patients were continent within 3 and 6 months, respectively. 40% of the patients restored their sexual function by 6 months. CONCLUSIONS: The Single-port extraperitoneal robotic-assisted radical prostatectomy is a minimally invasive approach in the management of localized prostate cancer. It is a suitable approach for patients with previous abdominal surgeries. This approach offers patients with promising outcomes in terms of single incision, minimal pain and same-day discharge without compromising the functional or oncologic outcomes. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e984 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mahmoud Abou Zeinab More articles by this author Ethan Ferguson More articles by this author Aaron Kaviani More articles by this author Alp T. Beksac More articles by this author Luca Morgantini More articles by this author Susan Talamini More articles by this author Jean Joseph More articles by this author Moses Kim More articles by this author Simone Crivellaro More articles by this author Jeffrey Nix More articles by this author Jihad Kaouk More articles by this author Expand All Advertisement PDF DownloadLoading ...