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Actas Urol Esp. 2017 Jun;41(5):333-337. doi: 10.1016/j.acuro.2016.09.013. Epub 2016 Dec 10.

Initial experience with the new da Vinci single-port robot-assisted platform.

[Article in English, Spanish]

Author information

1
Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España. Electronic address: rbdballestero@yahoo.es.
2
Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España.

Abstract

OBJECTIVE:

To describe our experience in the first cases of urological surgeries performed with the da Vinci single-port robot-assisted platform.

MATERIAL AND METHODS:

We performed 5 single-port robot-assisted surgeries (R-LESS) between May and October 2014. We performed 3 ureteral reimplant surgeries, one ureteropyeloplasty in an inverted kidney and 1 partial nephrectomy. The perioperative and postoperative results were collected, as well as a report of the complications according to the Clavien classification system.

RESULTS:

Of the 5 procedures, 4 were performed completely by LESS, while 1 procedure was reconverted to multiport robot-assisted surgery. There were no intraoperative complications. We observed perioperative complications in 4 patients, all of which were grade 1 or 2. The mean surgical time was 262minutes (range, 230-300).

DISCUSSION:

In our initial experience with the da Vinci device, R-LESS surgery was feasible and safe. There are still a number of limitations in its use, which require new and improved R-LESS platforms.

KEYWORDS:

Cirugía; Puerto único; Robot-assisted; Robótica; Single-port; Surgery

PMID:
27955859
DOI:
10.1016/j.acuro.2016.09.013
[Indexed for MEDLINE]

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