Single plus one port robotic radical prostatectomy (SPORP); Initial experience

  • Volkan Tugcu Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Abdulmuttalip Simsek | simsek76@yahoo.com Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Ismail Evren Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Kamil Gokhan Seker Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Ramazan Kocakaya Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Bugra Dogukan Torer Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Arda Atar Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Ali Ihsan Tasci Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Abstract

Objective: This article reports on patients with early stage prostate cancer treated with single plus one port robotic radical prostatectomy (SPORP). Materials and methods: Since January 2014, we performed SPORP in 8 patients with localized prostate cancer. Age of patients, clinical stage, operation time, intraoperative and postoperative complications, blood loss, histopathological evaluation, postoperative continence, serum level of PSA were evaluated. Results: Mean age of the 8 patients was 59.85 years. All operations were completed without conversion to standard robotic procedure or open surgery. No intra operative complications occurred. Mean operating time was 143 minutes; prostate excision 123 minutes and urethrovesical anastomosis 20 minutes. Mean blood loss was 45 ml. Preoperative Gleason scores were (3 + 4) in one patient and (3 + 3) in 7 patients. Postoperative Gleason scores were (3 + 4) in 2 patients, and (3 + 3) in 6 patients. All these 8 cases were in T1c clinical stage. Early postoperative complications were drain leakage (n = 1), atelectasis (n = 1), wound infection (n = 1) and fever (n = 1). There was no positive surgical margin. The serum level of PSA was less than 0.2 ng/ml and no other complications happened during the 4 to 12 months follow-up period. Postoperative continence and cosmetic results were excellent. Conclusions: It is relatively easy for urologists who are skilled in traditional laparoscopic and robotic surgeries to master SPORP. However long-term outcomes of this surgery need further investigations.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2017-10-03
Info
Issue
Section
Original Papers - Oncology
Keywords:
Single plus one port robotic radical prostatectomy (SPORP), Prostate cancer, Initial experience, Radical prostatectomy
Statistics
  • Abstract views: 982

  • PDF: 567
How to Cite
Tugcu, V., Simsek, A., Evren, I., Seker, K. G., Kocakaya, R., Torer, B. D., Atar, A., & Tasci, A. I. (2017). Single plus one port robotic radical prostatectomy (SPORP); Initial experience. Archivio Italiano Di Urologia E Andrologia, 89(3), 178-181. https://doi.org/10.4081/aiua.2017.3.178

Most read articles by the same author(s)