Abstract
Utilization of robotics in urologic surgery has been broadly popularized as it provides substantial advantages over conventional laparoscopic and open approaches, including improved fine dexterity, three-dimensional high-definition magnified optics, and augmented ergonomics. Accordingly, these features have facilitated the espousal of robotics for laparoendoscopic single-site surgery (LESS) to surmount challenges with instrument clashing, intra-corporeal suturing, and intra-abdominal triangulation. Herein we discuss currently available single-site robotic techniques and technology while focusing on specific urology procedures and the future of RLESS.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kaouk JH, Goel RK, Haber GP, Crouzet S, Stein RJ. Robotic single-port transumbilical surgery in humans: initial report. BJU Int. 2008;103:366–9.
Stein RJ, White WM, Geol RK, Irwin BH, Haber GP, Kaouk JH. Robotic laparoendoscopic single-site surgery using GelPort as the access platform. Eur Urol. 2010;57:132–7.
White MA, Autorino R, Spana G, Laydner H, Hillyer SP, Khanna R, et al. Robotic laparoendoscopic single-site radical nephrectomy: surgical techniques and comparative outcomes. Eur Urol. 2011;59:815–22.
White MA, Haber GP, Autorino R, Khanna R, Forest S, Yang B, et al. Robotic laparoendoscopic single-site radical prostatectomy: technique and early outcomes. Eur Urol. 2010;58:544–50.
Arkoncel FR, Lee JW, Rha KH, Han WK, Jeoung HB, Oh CK. Two-port robot-assisted vs standard robot-assisted laparoendoscopic single-site partial nephrectomy: a matched-pair comparison. Urology. 2011;78:581–5.
Olweny EO, Park SK, Tan YK, Gurbus C, Caddedu J, Best SL. Perioperative comparison of robotic assisted laparoendoscopic single-site (LESS) pyeloplasty versus conventional LESS pyeloplasty. Eur Urol. 2012;61:410–4.
Joseph RA, Goh AC, Cuevas SP, Donovan MA, Kauffman MG, Salas NA, et al. Chostick surgery: a novel technique improves surgeon performance and eliminates arm collision in robotic single-incision laparoscopic surgery. Surg Endosc. 2010;24:1331–5.
Haber GP, White MA, Autorino R, Escobar PF, Kroh MD, Chalikonda S, et al. Novel robotic da Vinci instruments for laparoendoscopic single-site surgery. Urology. 2010;76:1279–82.
Komninos C, Shin TY, Tuliao P, Yoon YE, Koo KC, Chang CH, et al. R-LESS partial nephrectomy trifecta outcomes is inferior to multiport robotic partial nephrectomy: comparative analysis. Eur Urol. 2014;66:512–7.
Janetschek G. Robotics: will they give a new kick to single-site surgery? Eur Urol. 2014;66:1044–5.
Kaouk JH, Autorino R, Kim FJ, Han DH, Lee SW, Yinghao S, et al. Laparoendoscopic single-site surgery in urology: worldwide multi-institutional analysis of 1076 cases. Eur Urol. 2011;60:998–1005.
White MA, Autorino R, Spana G, Hillyer S, Stein RJ, Kaouk JH. Robotic laparoendoscopic single site urological surgery: analysis of 50 consecutive cases. J Urol. 2012;187:1696–701.
Lee JW, Arkoncel FRP, Rha KH, Choi KH, Yu HS, Chae Y, et al. Urologic robot-assisted laparoendoscopic single-site surgery using a homemade single-port device: a single-center experience of 68 cases. J Endourol. 2011;25:1481–5.
Joseph RA, Salas NA, Johnson C, Goh A, Cuevas SP, Donovan MA, et al. Chopstick surgery: a novel technique enables use of the da Vinci robot to perform single-incision laparoscopic surgery [video]. Surg Endosc. 2010;24:3224.
Cestari A, Buffi NM, Lista G, Lughezzani G, Larcher A, Lazzeri M, et al. Feasibility and preliminary clinic outcomes of robotic laparoendoscopic single-site (R-LESS) pyeloplasty using a new single-port platform. Eur Urol. 2012;62:175–9.
Kaouk JH, Goel RK, Haber GP, et al. Single port laparoscopic radical prostatectomy. Urology. 2008;72:1190–3.
Fareed K, Zaytoun OM, Autorino R, White WM, Crouzet S, Yakoubi R, et al. Robotic single port suprapubic transvesicle enucleation of the prostate (R-STEP): initial experience. BJU Int. 2012;110:732–7.
Laydner H, Akca O, Autorino R, Eyraud R, Zargar H, Brandao LF, et al. Perineal robot-assisted laparoscopic radical prostatectomy: feasibility study in the cadaver model. J Endourol. 2014;28(12):1479–86.
Akca O, Zargar H, Kaouk JH. Robotic surgery revives radical perineal prostatectomy. Eur Urol. 2015 Aug;68(2):340–1.
Pietrabissa A, Pugliese L, Vinci A, Peri A, Peri A, Tinozzi FP, Cavazzi E, et al. Short-term outcomes of a single-site robotic cholecystectomy versus four-port laparoscopic cholecystectomy: a prospective, randomized, double-blind trial. Surg Endosc. 2016 Jul;30(7):3089–97.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Ramirez, D., Maurice, M.J., Kaouk, J.H. (2018). Single-Site Robotic Urologic Surgery: Current Applications and Future Technology. In: Hemal, A., Menon, M. (eds) Robotics in Genitourinary Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20645-5_69
Download citation
DOI: https://doi.org/10.1007/978-3-319-20645-5_69
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-20644-8
Online ISBN: 978-3-319-20645-5
eBook Packages: MedicineMedicine (R0)