Single port partial nephrectomy: techniques and outcomes

Abstract

Nephron-sparing surgery is the standard treatment for cT1 renal masses, and robot-assisted partial nephrectomy (RAPN) has gained popularity due to its minimally invasive nature and potential advantages in terms of earlier discharge and lower post-operative pain. The Da Vinci Single Port® (SP) system offers the advantages of a smaller incision and the ability to work in smaller spaces. This narrative review aims to address the technical aspects and collect existing evidence on surgical, oncological, and functional outcomes of SP RAPN. Initial experiences with SP RAPN have demonstrated safety and feasibility, both through transperitoneal and retroperitoneal approaches. Several studies have reported similar peri- and post-operative outcomes between SP and multi-port RAPN. Overall, SP RAPN appears to be a promising technique that expands the role of retroperitoneal approaches. This holds the potential to expedite post-operative recovery and minimize hospital stays.