INTRODUCTION: The da Vinci Single-Port (SP) platform (Intuitive Surgical Inc, Sunnyvale CA) is a recently approved robotic surgical platform which features several novel modifications from previously available single trocar models including a flexible camera, articulating instruments, and navigator guidance for real-time monitoring of instrument position. We sought to describe our clinical experience with this device as well as to review the current literature related to the use of the SP platform. METHODS: We provide a narrative review of clinical data related to single-port robotic surgery within the field of urology. In addition, we report our initial clinical experience for surgical procedures performed with the SP platform between December 2018 and April 2019 following installation of the system at our institution. RESULTS: Currently, the presently available literature for single-port robotic urological surgery consists of single-center case reports and series. Most major robotic urologic operations appear technically feasible using the da Vinci SP platform; however, additional multi-center studies and randomized trials are needed to determine what role the SP platform will play. CONCLUSIONS: Rather than an iterative step or a niche system, the SP platform provides for a new approach to single-site laparoscopic or robotic techniques and is demonstrated as a feasible approach for several major robotic urological operations. While comparative studies will be required to evaluate perioperative and long-term outcomes between SP and multi-port platforms, further technological advances will continue to push surgeons towards less morbid and more minimally invasive approaches for surgery.
INTRODUCTION: The da Vinci Single-Port (SP) platform (Intuitive Surgical Inc, Sunnyvale CA) is a recently approved robotic surgical platform which features several novel modifications from previously available single trocar models including a flexible camera, articulating instruments, and navigator guidance for real-time monitoring of instrument position. We sought to describe our clinical experience with this device as well as to review the current literature related to the use of the SP platform. METHODS: We provide a narrative review of clinical data related to single-port robotic surgery within the field of urology. In addition, we report our initial clinical experience for surgical procedures performed with the SP platform between December 2018 and April 2019 following installation of the system at our institution. RESULTS: Currently, the presently available literature for single-port robotic urological surgery consists of single-center case reports and series. Most major robotic urologic operations appear technically feasible using the da Vinci SP platform; however, additional multi-center studies and randomized trials are needed to determine what role the SP platform will play. CONCLUSIONS: Rather than an iterative step or a niche system, the SP platform provides for a new approach to single-site laparoscopic or robotic techniques and is demonstrated as a feasible approach for several major robotic urological operations. While comparative studies will be required to evaluate perioperative and long-term outcomes between SP and multi-port platforms, further technological advances will continue to push surgeons towards less morbid and more minimally invasive approaches for surgery.
Authors: R V Clayman; L R Kavoussi; N J Soper; S M Dierks; S Meretyk; M D Darcy; F D Roemer; E D Pingleton; P G Thomson; S R Long Journal: J Urol Date: 1991-08 Impact factor: 7.450
Authors: Ryan W Dobbs; Brenden P Magnan; Nikita Abhyankar; Ashok K Hemal; Ben Challacombe; Jim Hu; Prokar Dasgupta; Francesco Porpiglia; Simone Crivellaro Journal: Minerva Urol Nefrol Date: 2016-12-22 Impact factor: 3.720
Authors: John C LaMattina; Josue Alvarez-Casas; Irene Lu; Jessica M Powell; Samuel Sultan; Michael W Phelan; Rolf N Barth Journal: J Surg Res Date: 2017-10-31 Impact factor: 2.192
Authors: Jihad H Kaouk; George-Pascal Haber; Raj K Goel; Mihir M Desai; Monish Aron; Raymond R Rackley; Courtenay Moore; Inderbir S Gill Journal: Urology Date: 2008-01 Impact factor: 2.649
Authors: Osamah Hasan; Alexandra Reed; Mohammed Shahait; Raju Chelluri; David I Lee; Ryan W Dobbs Journal: Int Urol Nephrol Date: 2022-07-29 Impact factor: 2.266
Authors: Simone Scarcella; Daniele Castellani; Pietro Piazza; Carlo Giulioni; Luca Sarchi; Marco Amato; Carlo Andrea Bravi; Maria Peraire Lores; Rui Farinha; Sophie Knipper; Erika Palagonia; Sérgio Augusto Skrobot; Dries Develtere; Camille Berquin; Céline Sinatti; Hannah Van Puyvelde; Ruben De Groote; Paolo Umari; Geert De Naeyer; Lucio Dell'Atti; Giulio Milanese; Stefano Puliatti; Jeremy Yuen-Chun Teoh; Andrea B Galosi; Alexandre Mottrie Journal: J Robot Surg Date: 2021-11-08
Authors: Andrew Lai; Ryan W Dobbs; Susan Talamini; Whitney R Halgrimson; Jessica O Wilson; Hari T Vigneswaran; Simone Crivellaro Journal: Transl Androl Urol Date: 2020-04
Authors: Antonio Gangemi; Betty Chang; Paolo Bernante; Gilberto Poggioli Journal: Int J Environ Res Public Health Date: 2021-12-03 Impact factor: 3.390
Authors: Graham R Hale; Mohammed Shahait; David I Lee; Daniel J Lee; Ryan W Dobbs Journal: Patient Prefer Adherence Date: 2021-06-23 Impact factor: 2.711