Pd27-06 single-port robotic radical prostatectomy in over 1,100 consecutive patients from the multi-institutional sparc collaboration

You have accessJournal of UrologyCME1 Apr 2023PD27-06 SINGLE-PORT ROBOTIC RADICAL PROSTATECTOMY IN OVER 1,100 CONSECUTIVE PATIENTS FROM THE MULTI-INSTITUTIONAL SPARC COLLABORATION Ethan Ferguson, Roxana Ramos, Graham Hale, Jennifer Nguyen, Marcio Moschovas, Samantha Wilder, Kennedy Okhawere, Ruth Sanchez De La Rosa, Alp Tuna Beksac, Indu Saini, James Peabody, Ketan K. Badani, Craig Rogers, Jean Joseph, Vipul Patel, Michael Stifelman, Jeffrey Nix, Moses Kim, Mutahar Ahmed, Simone Crivellaro, and Jihad Kaouk Ethan FergusonEthan Ferguson More articles by this author , Roxana RamosRoxana Ramos More articles by this author , Graham HaleGraham Hale More articles by this author , Jennifer NguyenJennifer Nguyen More articles by this author , Marcio MoschovasMarcio Moschovas More articles by this author , Samantha WilderSamantha Wilder More articles by this author , Kennedy OkhawereKennedy Okhawere More articles by this author , Ruth Sanchez De La RosaRuth Sanchez De La Rosa More articles by this author , Alp Tuna BeksacAlp Tuna Beksac More articles by this author , Indu SainiIndu Saini More articles by this author , James PeabodyJames Peabody More articles by this author , Ketan K. BadaniKetan K. Badani More articles by this author , Craig RogersCraig Rogers More articles by this author , Jean JosephJean Joseph More articles by this author , Vipul PatelVipul Patel More articles by this author , Michael StifelmanMichael Stifelman More articles by this author , Jeffrey NixJeffrey Nix More articles by this author , Moses KimMoses Kim More articles by this author , Mutahar AhmedMutahar Ahmed More articles by this author , Simone CrivellaroSimone Crivellaro More articles by this author , and Jihad KaoukJihad Kaouk More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003305.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Radical prostatectomy using the single-port (SP) robotic platform has been performed using a variety of surgical approaches. We sought to report the outcomes of a large multi-institutional series and compare techniques. METHODS: From 2/2019 to 10/2022, SP robotic radical prostatectomy was performed in 1,103 patients by experienced robotic surgeons at nine institutions from the SPARC collaboration. Perioperative data and early postoperative outcomes were collected prospectively and analyzed retrospectively. RESULTS: SP radical prostatectomy was performed using transperitoneal (TP, n=244), extraperitoneal (EP, n=712), and transvesical (TV, n=147) approaches. All procedures were completed successfully without intraoperative complications or open conversion. About 30% of all patients had a history of prior abdominal surgery, with significant differences noted based on operative technique; 50% TV, 30% EP, and 3% TP. The EP approach was associated with higher NCCN risk and biopsy Gleason scores, as well as a higher lymph node yield than in other approaches. Opioid were prescribed in 20% and pain scores at discharge were low for all patients. Significant differences were identified in postoperative parameters including the performance of lymphadenectomy, inpatient hospital stay, and foley catheter duration. The TV approach was associated with a lower rate of positive margins (18.2%) compared with EP (30.2%) and TP (30.1%). Follow up duration for the entire series was 10.8 months. CONCLUSIONS: We reported the outcomes of a large series of single-port radical prostatectomy with promising short hospital stay and pain scores. Compared with other techniques, the transvesical approach is associated with shorter length of stay, faster time to continence, and a lower rate of positive surgical margins. Source of Funding: none © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e743 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ethan Ferguson More articles by this author Roxana Ramos More articles by this author Graham Hale More articles by this author Jennifer Nguyen More articles by this author Marcio Moschovas More articles by this author Samantha Wilder More articles by this author Kennedy Okhawere More articles by this author Ruth Sanchez De La Rosa More articles by this author Alp Tuna Beksac More articles by this author Indu Saini More articles by this author James Peabody More articles by this author Ketan K. Badani More articles by this author Craig Rogers More articles by this author Jean Joseph More articles by this author Vipul Patel More articles by this author Michael Stifelman More articles by this author Jeffrey Nix More articles by this author Moses Kim More articles by this author Mutahar Ahmed More articles by this author Simone Crivellaro More articles by this author Jihad Kaouk More articles by this author Expand All Advertisement PDF downloadLoading ...