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<p>The advent of the purpose-built da Vinci single-port robotic platform marks a pivotal advancement in minimally invasive urological surgery. Designed to overcome the ergonomic and technical limitations of prior single-site approaches, the single-port system enables complex procedures through a single incision, with enhanced dexterity, optimized use of confined spaces and improved cosmetic and peri-operative outcomes. The single-port system has been increasingly used across a wide range of urological indications, including robot-assisted radical prostatectomy, partial nephrectomy, nephroureterectomy and reconstructive surgeries such as pyeloplasty and ureteral re-implantation. Innovative access strategies, such as the single-port transvesical and low anterior access approaches, have facilitated regionalized and multi-quadrant surgeries without the need for repositioning or robot re-docking. These advances have translated into reduced morbidity, faster recovery and increased feasibility of opioid-sparing, same-day discharge protocols. As surgical expertise deepens and technology evolves, the single-port robotic platform stands as a refinement of minimally invasive surgery, and also as a potential paradigm shift in urological practice.</p>

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The current landscape of single-port robotic surgery in urology

  • 期刊论文

  • 发表日期：

    2025年9月2日

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  • Arianna Biasatti,
  • Nicolas A. Soputro,
  • Francesco Porpiglia,
  • Sisto Perdonà,
  • Firas Abdollah,
  • Ryan Nelson,
  • Craig Rogers,
  • Lee C. Zhao,
  • Ahmed Ghazi,
  • Ben Challacombe,
  • Christopher Eden,
  • Agostino Mattei,
  • Christian D. Fankhauser,
  • Alberto Breda,
  • Bernardo Rocco,
  • Francesco Montorsi,
  • Alberto Briganti,
  • Antony A. Pellegrino,
  • Alexandre Mottrie,
  • Ruben De Groote,
  • Alexander Haese,
  • Markus Graefen,
  • Marcio C. Moschovas,
  • Vipul Patel,
  • Giuseppe Simone,
  • Antonio Galfano,
  • Silvia Secco,
  • Riccardo Bertolo,
  • Savio D. Pandolfo,
  • Vito Pansadoro,
  • Filipe L. F. Carvalho,
  • Jean V. Joseph,
  • Mohammad Ramadan,
  • Jaschar Shakuri-Rad,
  • Bertram Yuh,
  • Jeffrey Nix,
  • David I. Lee,
  • Soroush Rais-Bahrami,
  • Sij Hemal,
  • Mohamed Eltemamy,
  • Alp T. Beksac,
  • Zeyad Schwen,
  • Li-Ming Su,
  • Maurizio Buscarini,
  • Michael Palese,
  • Ash Tewari,
  • Peter Wiklund,
  • Edward E. Cherullo,
  • Srinivas Vourganti,
  • Jennifer A. Linehan,
  • Zhenjie Wu,
  • Michael Stifelman,
  • Mutahar Ahmed,
  • Reza Mehrazin,
  • Ketan Badani,
  • Richard E. Link,
  • Simone Crivellaro,
  • Jihad Kaouk,
  • Riccardo Autorino

摘要

The advent of the purpose-built da Vinci single-port robotic platform marks a pivotal advancement in minimally invasive urological surgery. Designed to overcome the ergonomic and technical limitations of prior single-site approaches, the single-port system enables complex procedures through a single incision, with enhanced dexterity, optimized use of confined spaces and improved cosmetic and peri-operative outcomes. The single-port system has been increasingly used across a wide range of urological indications, including robot-assisted radical prostatectomy, partial nephrectomy, nephroureterectomy and reconstructive surgeries such as pyeloplasty and ureteral re-implantation. Innovative access strategies, such as the single-port transvesical and low anterior access approaches, have facilitated regionalized and multi-quadrant surgeries without the need for repositioning or robot re-docking. These advances have translated into reduced morbidity, faster recovery and increased feasibility of opioid-sparing, same-day discharge protocols. As surgical expertise deepens and technology evolves, the single-port robotic platform stands as a refinement of minimally invasive surgery, and also as a potential paradigm shift in urological practice.