Category: New Technology: Laparoscopy & Robotics
Introduction & Objective :
Minimally invasive radical prostatectomy has progressively replaced open surgery for the surgical treatment of prostate cancer. A single port approach could be an alternative to further reduce incisional morbidity. New surgical robots should offer the capability to develop such an approach. We present a seven minute video showing our initial experience of a Single Port Radical Prostatectomy in a cadaver model with the SPORT Surgical System (Titan Medical Inc, Toronto, Ontario, CA)
The surgical procedure began by making a 3-cm skin and fascial incision with the placement of an access device. The robotic single arm was inserted into the abdominal cavity. The camera and multi-articulated flexible instruments were deployed within the abdomen. The surgeon was seated at the workstation, next to the cadaver and performed the procedure while wearing glasses for 3-D visualization.
During the procedure, the instruments used were monopolar scissors, graspers and needle drivers. To achieve the radical prostatectomy, we fulfilled the classical steps of this surgery: after dropping the urinary bladder, the bladder neck was identified and transected. Both lateral prostatic fascia and neurovascular bundles were dissected and the urethra was cut, after the dorsal vein complex had been managed. The last step was the urethrovesical anastomosis.
Conclusions: Our preliminary experience of radical prostatectomy using the SPORT Surgical System demonstrated the feasibility of the procedure. This promising approach should be transposed in clinics with comparative investigations to traditional multi-port robot-assisted prostatectomy.
Eric Barret– staff, Institut Montsouris, Paris, Ile-de-France, France