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

Authors :: Ballestero Diego R
Zubillaga Guerrero S
Truan Cacho D
Carrion Ballardo C
Velilla Diez G
Calleja Hermosa P
Gutiérrez Baños JL
Source :: Actas urologicas espanolas [Actas Urol Esp] 2017 Jun; Vol. 41 (5), pp. 333-337. Date of Electronic Publication: 2016 Dec 10.
Publication Year :: 2017
Abstract: Objective: To describe our experience in the first cases of urological surgeries performed with the da Vinci single-port robot-assisted platform.<br />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.<br />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).<br />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.<br /> (Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.)