Single-Port Robotic Surgery in Urology

Single-Port Robotic Surgery in Urology

The New Beginning After the Advent of Dedicated Platforms

1st Edition - June 14, 2022

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  • Editors: Riccardo Bertolo, Jihad Kaouk
  • Paperback ISBN: 9780323919067
  • eBook ISBN: 9780323985154

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Single-Port Robotic Surgery in Urology: The New Beginning After the Advent of Dedicated Platforms describes the novel field of robotic single-port urologic surgery. Recent advances in surgical robotics combined with the pursuit to reduce the invasiveness of laparoscopic surgery have led to the development of novel robotic platforms specifically designed for single-port surgery. This reference summarizes the state-of-the-art of robotic single-port urologic surgery. Coverage takes a three-part approach, providing a description of the technological evolution which led to the advent of novel platforms specifically designed for single-port surgery, describing the urological procedures that can be performed, and outcomes and potential drawbacks.

Key Features

  • Provides a description of the current status of single-port robotic urologic surgery performed using novel dedicated platforms
  • Expands understanding on why single-port is better than the standard multi-arms robotic approach, highlighting an analysis of surgical steps
  • Summarizes data about each intervention, including pooled comparative analyses, to provide the most evidence-based examination possible


Urologists involved in the field of minimally invasive oncological & reconstructive urology, urological surgeons. Urology residents

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • List of contributors
  • Preface
  • Chapter 1. The evolution of robotic single-port dedicated platforms
  • Abstract
  • 1.1 Introduction
  • 1.2 Da Vinci Single Site (VESPA)
  • 1.3 Da Vinci SP
  • 1.4 Upcoming robotic platforms
  • 1.5 Conclusion
  • References
  • Chapter 2. Applications of single-port robotic platforms in urology: an overview
  • Abstract
  • 2.1 Introduction
  • 2.2 Da Vinci SP settings
  • 2.3 Preclinical studies
  • 2.4 SP applications in urologic surgeries
  • 2.5 Conclusion
  • References
  • Chapter 3. Single-port robot-assisted radical prostatectomy: transperitoneal versus extraperitoneal approach
  • Abstract
  • 3.1 Introduction
  • 3.2 Basic technique of the transperitoneal SP RARP
  • 3.3 Basic technique of the extraperitoneal SP RARP
  • 3.4 Complications
  • 3.5 Pros and cons of extraperitoneal versus transperitoneal approach
  • 3.6 Conclusion
  • References
  • Chapter 4. The re-discovery of alternative access to the pelvic fossa: the role of the single-port robotic platform
  • Abstract
  • 4.1 Introduction
  • 4.2 The evolution of the robotic surgical approaches to the pelvic fossa
  • 4.3 Surgical approaches to the pelvic fossa using the da Vinci SP robot
  • 4.4 Conclusions
  • References
  • Chapter 5. The evolution of single-port robot-assisted transperineal radical prostatectomy
  • Abstract
  • 5.1 Background
  • 5.2 Surgical technique for perineal robotic radical prostatectomy with single-site multiport approach (R-LESS)
  • 5.3 Surgical technique for transperineal single-port robot-assisted radical prostatectomy performed by using the single-port surgical platform
  • 5.4 Discussion
  • 5.5 Future perspectives
  • References
  • Chapter 6. Robotic single-port surgery for kidney and upper urinary tract cancers
  • Abstract
  • 6.1 Background
  • 6.2 Positioning
  • 6.3 Single-port site
  • 6.4 Insufflation options
  • 6.5 Instruments
  • 6.6 SP surgery-specific considerations
  • 6.7 Conclusion
  • References
  • Chapter 7. Robot-assisted single-port radical cystectomy and intracorporeal urinary diversion
  • Abstract
  • 7.1 Access
  • 7.2 Radical cystectomy
  • 7.3 Harvesting the bowel
  • 7.4 Ileal conduit
  • 7.5 Neobladder
  • 7.6 Indiana pouch
  • 7.7 Delivering the specimen
  • 7.8 Benefits and disadvantages of the single-port technique
  • References
  • Chapter 8. Single-port robotic ureteral reconstruction
  • Abstract
  • 8.1 Introduction
  • 8.2 Advantages
  • 8.3 Disadvantages
  • 8.4 Access
  • 8.5 Pyeloplasty
  • 8.6 Ureteroureterostomy and buccal mucosa graft ureteroplasty
  • 8.7 Ureteral reimplantation
  • 8.8 Psoas hitch
  • 8.9 Boari flap
  • 8.10 Nontransecting side-to-side ureteral reimplantation
  • 8.11 Summary
  • References
  • Further reading
  • Chapter 9. Single-port robotic surgery for kidney transplantation and autotransplantation
  • Abstract
  • 9.1 Single-port robotic surgery for kidney transplantation—rationale and conceptualization
  • 9.2 Single-port robotic renal transplantation—implementation of an innovative procedure
  • 9.3 Kidney benching (extracorporeal graft preparation)
  • 9.4 Limitations, challenges, and future directions
  • 9.5 Conclusions
  • References
  • Chapter 10. Comparison of perioperative outcomes and costs between single-port and standard multiport robot-assisted surgeries in urology
  • Abstract
  • 10.1 Introduction
  • 10.2 Radical prostatectomy
  • 10.3 Radical and partial nephrectomy
  • 10.4 Radical cystectomy
  • 10.5 Pyeloplasty
  • 10.6 Sacrocolpopexy
  • 10.7 Vaginoplasty
  • 10.8 Cost analysis of single-port robotics
  • 10.9 Conclusion
  • Conflicts of interest and financial disclosures
  • References
  • Chapter 11. Future perspectives: natural orifice transluminal endoscopic surgery
  • Abstract
  • 11.1 Introduction
  • 11.2 Background—transition from laparoscopy to hybrid and pure NOTES
  • 11.3 NOTES in urology: challenges, limitations, and future directions
  • 11.4 Future directions
  • 11.5 Conclusions
  • Disclosures
  • References
  • Index

Product details

  • No. of pages: 188
  • Language: English
  • Copyright: © Academic Press 2022
  • Published: June 14, 2022
  • Imprint: Academic Press
  • Paperback ISBN: 9780323919067
  • eBook ISBN: 9780323985154

About the Editors

Riccardo Bertolo

Riccardo Bertolo works as a staff urologist at San Carlo di Nancy Hospital in Rome (Italy). His surgical activity is focused on urologic minimally-invasive surgery for the treatment of prostate, kidney and urothelial cancers and benign ureteral diseases. He attended a fellowship in robotic urology at Cleveland Clinic (Cleveland, Ohio, USA), and got a PhD in Bioengineering applied to Medical-Surgical sciences at the polytechnic of Turin (Italy). He is Board Member of the Young Academic Urologists - Renal Cancer Working Party within the European Association of Urology (EAU). He is associate member of the EAU robotic urology section (ERUS). He serves as social-media editor for the Urology Video Journal (Elsevier) and as associate editor for the URO-ONCO renal cell carcinoma edu platform. He is Board Member of the Italian Society of Urology (SIU) research office and of the Italian Group for Advanced Laparo-Endoscopic Surgery (AGILE). He is qualified to be Associate Professor of Urology since 2017. His research fields cover urological oncology and technological innovations in minimally-invasive surgery. Dr. Bertolo has published over 170 papers on the most prestigious peer-reviewed urology and surgery journals and serves as reviewer for more than 40 peer-reviewed journal including the most prestigious green-list urology journals.

Affiliations and Expertise

Urologist, San Carlo di Nancy Hospital, Rome, Italy - Robotic Surgery

Jihad Kaouk

Jihad H. Kaouk, M.D. is an Associate Professor of Surgery and the Director of the Center for Advanced Laparoscopic and Robotic Surgery in the Glickman Urological & Kidney Institute at Cleveland Clinic. He is a leader in the development of innovative surgical techniques and specializes in robotics and laparoscopic surgery. Dr. Kaouk developed a new surgical approach at Cleveland Clinic, known as single-port laparoscopy, that results in little or no scarring after surgery and reduces complications and pain. Dr. Kaouk received the Cleveland Clinic Innovator Award in 2006, he was named in Who’s Who in America and one of America’s Top Physicians in Urology by Consumers’ Research Council from 2005-2007. Dr. Kaouk received First Prize in the 18th World Congress on Endourology and received the best overall research paper award at the 26th World Congress on Endourology.

Affiliations and Expertise

Associate Professor and Director, Center for Advanced Laparoscopic and Robotic Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA

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