Introduction: Patients who desire surgical management for prostate cancer but are poor candidates for transperitoneal, multiport robotic surgery are a clinical challenge. Use of single port (SP) robotic technology can overcome some of these challenges. We present three patients who underwent single port robotic prostatectomy for prostate cancer using the da Vinci SP robot-assisted surgical system.
Methods: Three patients underwent SP robotic-assisted radical prostatectomy for biopsy confirmed prostate adenocarcinoma at a single tertiary care institution. Patient characteristics are highlighted in table 1.
Results: All patients underwent successful procedures and were discharged home on post-operative day 1. Two patients have undetectable PSA at 2 and 4 months, and the third has not yet reached his 6 week follow up. There were no intraoperative or post-operative complications.
Conclusions: Our initial experience using the single-port robot suggests that the smaller required working space can facilitate surgery for prostate cancer patients who would otherwise not be considered surgical candidates. Using a transvesical or extraperitoneal approach for prostatectomy, we have found the single port system to be a valuable tool for carefully selected patients.