Comparison of Perioperative and Functional Outcomes Between Improved (port-free) single-site robot-assisted laparoscopic radical prostatectomy and Standard multi-port Robot-assisted Radical Prostatectomy:A Prospective, Controlled, Nonrandomised Trial

Comparison of Perioperative and Functional Outcomes Between Improved (port-free) single-site robot-assisted laparoscopic radical prostatectomy and Standard multi-port Robot-assisted Radical Prostatectomy:A Prospective, Controlled, Nonrandomised Trial | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Comparison of Perioperative and Functional Outcomes Between Improved (port-free) single-site robot-assisted laparoscopic radical prostatectomy and Standard multi-port Robot-assisted Radical Prostatectomy:A Prospective, Controlled, Nonrandomised Trial Shida Fan, Zhengjun Chen, Fang Zhou, Qian Lv, Dong Wang, Shangqing Ren, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4072031/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 03 May, 2024 Read the published version in Journal of Robotic Surgery → Version 1 posted 8 You are reading this latest preprint version Abstract Purpose To compare perioperative and functional outcomes between Improved (port-free) single-site robot-assisted laparoscopic radical prostatectomy(pf-ssRARP) and Standard multi-port Robot-assisted Radical Prostatectomy༈MPRARP༉. Methods A total of 372 consecutive patients underwent RARAP using the da Vinci Si® robotic surgical system .Group I (n = 210) included patients undergoing pf-ssRARP and Group II (n = 162) included patients undergoing MPRARP.Demographics and perioperative data including postoperative recovery outcomes were recorded and compared between the two groups. Results Overall mean operative time was significantly shorter with the pf-ssRARP compared to the MPRARP ( p < 0.05).The length of hospitalization after the pf-ssRARP was shorter( p < 0.05).In Group I, the positive surgical margin rate was 15.2%, while in Group II, the positive margin rate was 33.3% ( p < 0.05).The rate of instant urinary continence was significantly higher in Group I than in Group II( p < 0.05).The percentage of urinary continence was higher in the pf-ssRARP than in the MPRARP,at 6 months post-surgery ( p < 0.05) and 9 months post-surgery ( p 0.05).The two groups were comparable in terms of total hospitalization costs( p < 0.05). Conclusion The Improved (port-free) single-site robot-assisted laparoscopic radical prostatectomy is a practical and easy technique to implement in clinical practice. robot-assisted radical prostatectomy improved technology prostate cancer extraperitoneal implementation Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 03 May, 2024 Read the published version in Journal of Robotic Surgery → Version 1 posted Editorial decision: Revision requested 24 Mar, 2024 Reviews received at journal 24 Mar, 2024 Reviewers agreed at journal 15 Mar, 2024 Reviewers agreed at journal 15 Mar, 2024 Reviewers invited by journal 15 Mar, 2024 Editor assigned by journal 12 Mar, 2024 Submission checks completed at journal 12 Mar, 2024 First submitted to journal 11 Mar, 2024 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4072031","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":278940261,"identity":"f3660633-d470-4a97-aaf6-d65f8442f554","order_by":0,"name":"Shida Fan","email":"","orcid":"","institution":"Sichuan Provincial People's Hospital, University of Electronic University of Electronic Science and Technology of China, Chengdu, 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multi-port Robot-assisted Radical Prostatectomy:A Prospective, Controlled, Nonrandomised Trial","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"journal-of-robotic-surgery","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"jors","sideBox":"Learn more about [Journal of Robotic Surgery](http://link.springer.com/journal/11701)","snPcode":"11701","submissionUrl":"https://submission.nature.com/new-submission/11701/3","title":"Journal of Robotic Surgery","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"Springer Hybrid","inReviewEnabled":true,"inReviewRevisionsEnabled":false},"keywords":"robot-assisted radical prostatectomy, improved technology, prostate cancer, extraperitoneal implementation","lastPublishedDoi":"10.21203/rs.3.rs-4072031/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4072031/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003ePurpose\u003c/h2\u003e \u003cp\u003eTo compare perioperative and functional outcomes between Improved (port-free) single-site robot-assisted laparoscopic radical prostatectomy(pf-ssRARP) and Standard multi-port Robot-assisted Radical Prostatectomy༈MPRARP༉.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e \u003cp\u003eA total of 372 consecutive patients underwent RARAP using the da Vinci Si\u0026reg; robotic surgical system .Group I (n\u0026thinsp;=\u0026thinsp;210) included patients undergoing pf-ssRARP and Group II (n\u0026thinsp;=\u0026thinsp;162) included patients undergoing MPRARP.Demographics and perioperative data including postoperative recovery outcomes were recorded and compared between the two groups.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eOverall mean operative time was significantly shorter with the pf-ssRARP compared to the MPRARP (\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05).The length of hospitalization after the pf-ssRARP was shorter(\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05).In Group I, the positive surgical margin rate was 15.2%, while in Group II, the positive margin rate was 33.3% (\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05).The rate of instant urinary continence was significantly higher in Group I than in Group II(\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05).The percentage of urinary continence was higher in the pf-ssRARP than in the MPRARP,at 6 months post-surgery (\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05) and 9 months post-surgery (\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05).There was no significant difference in the proportion of erectile function in the pf-ssRARP and MPRARP groups at the time of reaching the endpoint of this study(\u003cem\u003ep\u0026gt;\u003c/em\u003e 0.05).The two groups were comparable in terms of total hospitalization costs(\u003cem\u003ep\u003c/em\u003e\u0026thinsp;\u0026lt;\u0026thinsp;0.05).\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eThe Improved (port-free) single-site robot-assisted laparoscopic radical prostatectomy is a practical and easy technique to implement in clinical practice.\u003c/p\u003e","manuscriptTitle":"Comparison of Perioperative and Functional Outcomes Between Improved (port-free) single-site robot-assisted 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