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Single-Port Robotic Surgery in Urology

The New Beginning After the Advent of Dedicated Platforms

1st Edition - June 14, 2022

Editors: Riccardo Bertolo, Jihad Kaouk

Paperback ISBN:

9 7 8 - 0 - 3 2 3 - 9 1 9 0 6 - 7

eBook ISBN:

9 7 8 - 0 - 3 2 3 - 9 8 5 1 5 - 4

Single-Port Robotic Surgery in Urology: The New Beginning After the Advent of Dedicated Platforms describes the novel field of robotic single-port urologic surgery. Recent… Read more

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Single-Port Robotic Surgery in Urology: The New Beginning After the Advent of Dedicated Platforms describes the novel field of robotic single-port urologic surgery. Recent advances in surgical robotics combined with the pursuit to reduce the invasiveness of laparoscopic surgery have led to the development of novel robotic platforms specifically designed for single-port surgery. This reference summarizes the state-of-the-art of robotic single-port urologic surgery. Coverage takes a three-part approach, providing a description of the technological evolution which led to the advent of novel platforms specifically designed for single-port surgery, describing the urological procedures that can be performed, and outcomes and potential drawbacks.

Cover image
Title page
Table of Contents
Copyright
List of contributors
Preface
Chapter 1. The evolution of robotic single-port dedicated platforms
Abstract
1.1 Introduction
1.2 Da Vinci Single Site (VESPA)
1.3 Da Vinci SP
1.4 Upcoming robotic platforms
1.5 Conclusion
References
Chapter 2. Applications of single-port robotic platforms in urology: an overview
Abstract
2.1 Introduction
2.2 Da Vinci SP settings
2.3 Preclinical studies
2.4 SP applications in urologic surgeries
2.5 Conclusion
References
Chapter 3. Single-port robot-assisted radical prostatectomy: transperitoneal versus extraperitoneal approach
Abstract
3.1 Introduction
3.2 Basic technique of the transperitoneal SP RARP
3.3 Basic technique of the extraperitoneal SP RARP
3.4 Complications
3.5 Pros and cons of extraperitoneal versus transperitoneal approach
3.6 Conclusion
References
Chapter 4. The re-discovery of alternative access to the pelvic fossa: the role of the single-port robotic platform
Abstract
4.1 Introduction
4.2 The evolution of the robotic surgical approaches to the pelvic fossa
4.3 Surgical approaches to the pelvic fossa using the da Vinci SP robot
4.4 Conclusions
References
Chapter 5. The evolution of single-port robot-assisted transperineal radical prostatectomy
Abstract
5.1 Background
5.2 Surgical technique for perineal robotic radical prostatectomy with single-site multiport approach (R-LESS)
5.3 Surgical technique for transperineal single-port robot-assisted radical prostatectomy performed by using the single-port surgical platform
5.4 Discussion
5.5 Future perspectives
References
Chapter 6. Robotic single-port surgery for kidney and upper urinary tract cancers
Abstract
6.1 Background
6.2 Positioning
6.3 Single-port site
6.4 Insufflation options
6.5 Instruments
6.6 SP surgery-specific considerations
6.7 Conclusion
References
Chapter 7. Robot-assisted single-port radical cystectomy and intracorporeal urinary diversion
Abstract
7.1 Access
7.2 Radical cystectomy
7.3 Harvesting the bowel
7.4 Ileal conduit
7.5 Neobladder
7.6 Indiana pouch
7.7 Delivering the specimen
7.8 Benefits and disadvantages of the single-port technique
References
Chapter 8. Single-port robotic ureteral reconstruction
Abstract
8.1 Introduction
8.2 Advantages
8.3 Disadvantages
8.4 Access
8.5 Pyeloplasty
8.6 Ureteroureterostomy and buccal mucosa graft ureteroplasty
8.7 Ureteral reimplantation
8.8 Psoas hitch
8.9 Boari flap
8.10 Nontransecting side-to-side ureteral reimplantation
8.11 Summary
References
Further reading
Chapter 9. Single-port robotic surgery for kidney transplantation and autotransplantation
Abstract
9.1 Single-port robotic surgery for kidney transplantation—rationale and conceptualization
9.2 Single-port robotic renal transplantation—implementation of an innovative procedure
9.3 Kidney benching (extracorporeal graft preparation)
9.4 Limitations, challenges, and future directions
9.5 Conclusions
References
Chapter 10. Comparison of perioperative outcomes and costs between single-port and standard multiport robot-assisted surgeries in urology
Abstract
10.1 Introduction
10.2 Radical prostatectomy
10.3 Radical and partial nephrectomy
10.4 Radical cystectomy
10.5 Pyeloplasty
10.6 Sacrocolpopexy
10.7 Vaginoplasty
10.8 Cost analysis of single-port robotics
10.9 Conclusion
Conflicts of interest and financial disclosures
References
Chapter 11. Future perspectives: natural orifice transluminal endoscopic surgery
Abstract
11.1 Introduction
11.2 Background—transition from laparoscopy to hybrid and pure NOTES
11.3 NOTES in urology: challenges, limitations, and future directions
11.4 Future directions
11.5 Conclusions
Disclosures
References
Index

Riccardo Bertolo

Riccardo Bertolo works as a staff urologist at San Carlo di Nancy Hospital in Rome (Italy). His surgical activity is focused on urologic minimally-invasive surgery for the treatment of prostate, kidney and urothelial cancers and benign ureteral diseases. He attended a fellowship in robotic urology at Cleveland Clinic (Cleveland, Ohio, USA), and got a PhD in Bioengineering applied to Medical-Surgical sciences at the polytechnic of Turin (Italy). He is Board Member of the Young Academic Urologists - Renal Cancer Working Party within the European Association of Urology (EAU). He is associate member of the EAU robotic urology section (ERUS). He serves as social-media editor for the Urology Video Journal (Elsevier) and as associate editor for the URO-ONCO renal cell carcinoma edu platform. He is Board Member of the Italian Society of Urology (SIU) research office and of the Italian Group for Advanced Laparo-Endoscopic Surgery (AGILE). He is qualified to be Associate Professor of Urology since 2017. His research fields cover urological oncology and technological innovations in minimally-invasive surgery. Dr. Bertolo has published over 170 papers on the most prestigious peer-reviewed urology and surgery journals and serves as reviewer for more than 40 peer-reviewed journal including the most prestigious green-list urology journals.

Affiliations and expertise

Urologist, San Carlo di Nancy Hospital, Rome, Italy - Robotic Surgery

Jihad Kaouk

Jihad H. Kaouk, M.D. is an Associate Professor of Surgery and the Director of the Center for Advanced Laparoscopic and Robotic Surgery in the Glickman Urological & Kidney Institute at Cleveland Clinic. He is a leader in the development of innovative surgical techniques and specializes in robotics and laparoscopic surgery. Dr. Kaouk developed a new surgical approach at Cleveland Clinic, known as single-port laparoscopy, that results in little or no scarring after surgery and reduces complications and pain. Dr. Kaouk received the Cleveland Clinic Innovator Award in 2006, he was named in Who’s Who in America and one of America’s Top Physicians in Urology by Consumers’ Research Council from 2005-2007. Dr. Kaouk received First Prize in the 18th World Congress on Endourology and received the best overall research paper award at the 26th World Congress on Endourology.

Affiliations and expertise

Associate Professor and Director, Center for Advanced Laparoscopic and Robotic Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA