Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomy

Shangqing Ren; Yong Ou; Yaoqian Wang; Yi Wei; Cheng Luo; Bo Yang; Jiazheng Yuan; Qian Lv; Fang Zhou; Zhengjun Chen; Yu Nie; Jie Lin; Yilei Wu; Bo Yang; Shida Fan; Dong Wang

doi:10.1038/s41598-023-28337-1

Scientific Reports (Jan 2023)

Preliminary comparison of the modified extraperitoneal free-PORT single incision technique and transabdominal multi-incision robot-assisted laparoscopic radical prostatectomy

Shangqing Ren,
Yong Ou,
Yaoqian Wang,
Yi Wei,
Cheng Luo,
Bo Yang,
Jiazheng Yuan,
Qian Lv,
Fang Zhou,
Zhengjun Chen,
Yu Nie,
Jie Lin,
Yilei Wu,
Bo Yang,
Shida Fan,
Dong Wang

Affiliations

Shangqing Ren: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Yong Ou: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Yaoqian Wang: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Yi Wei: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Cheng Luo: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Bo Yang: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Jiazheng Yuan: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Qian Lv: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Fang Zhou: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Zhengjun Chen: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Yu Nie: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Jie Lin: School of Computer Science and Engineering, University of Electronic Science and Technology of China
Yilei Wu: Department of Medical Records Statistics, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China
Bo Yang: Department of Paediatric Surgery, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital
Shida Fan: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China
Dong Wang: Department of Robotic Minimally Invasive Surgery Center, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Affiliated Hospital of the University of Electronic Science and Technology of China

DOI: https://doi.org/10.1038/s41598-023-28337-1
Journal volume & issue: Vol. 13, no. 1
pp. 1 – 8

Abstract

Read online

Abstract To compare the clinical efficacy of an innovative modified single-incision technique without special extraperitoneal PORT with that of transperitoneal multi-incision robot-assisted laparoscopic radical prostatectomy and to explore the feasibility and safety of the former. A retrospective analysis was performed on 259 patients who received robot-assisted laparoscopic radical prostatectomy in the Robot Minimally Invasive Center of Sichuan Provincial People's Hospital between September 2018 and August 2021. Among them were 147 cases involving extraperitoneal single incision with no special PORT (Group A) and 112 cases involving multiple incisions by the transperitoneal method (Group B). Differences in age, PSA level, Gleason score, prostate volume, body mass index, clinical stage, lower abdominal operation history, and lymph node dissection ratio between the two groups were not statistically significant (P > 0.05). All operations were performed by the same operator. In this study, all 259 operations were completed successfully, and there was no conversion. There was no significant difference in transperitoneal blood loss, postoperative hospital stay, positive rate of incision margin, indwelling time of urinary catheter, satisfaction rate of immediate urine control, satisfaction rate of urine control 3 months after operation, positive rate of postoperative lymph node pathology or postoperative pathological stage between the two groups (P > 0.05). There were significant differences in operation time, postoperative exhaust time and incision length (P < 0.05). The modified extraperitoneal nonspecial PORT single-incision technique is safe and feasible for robot-assisted laparoscopic radical prostatectomy, and its curative effect is similar to that of transperitoneal multi-incision RARP. It has the advantages of a short operation time, less impact on the gastrointestinal tract and a more beautiful incision. The long-term effect of treatment needs to be further confirmed by prospective studies.

Published in Scientific Reports

ISSN: 2045-2322 (Online)
Publisher: Nature Portfolio
Country of publisher: United Kingdom
LCC subjects: Medicine; Science
Website: https://www.nature.com/srep/

About the journal