title: Single port radical prostatectomy: current status.
abstract: The aim of this study is to analyze the current literature on single port radical prostatectomy (LESS-RP). Single port radical prostatectomy laparoendoscopic (LESS-RP) has established itself as a challenge for urological community, starting with the proposal of different approaches: extraperitoneal, transperitoneal and transvesical, initially described for laparoscopy and then laparoscopy robot-assisted. In order to improve the LESS-RP, new instruments, optical devices, trocars and retraction mechanisms have been developed. Advantages and disadvantages of LESS-RP are controversial, while some claim that it is a non-trustable approach, regarding the low cases number and technical difficulties, others acclaim that despite this facts some advantages have been shown and that previous described difficulties are being overcome, proving this is novel proposal of robotics platform, the Da Vinci SP, integrating the system into "Y". The LESS-RP approach gives us a new horizon and opens the door for rapid standardization of this technique. The few studies and short series available can be result of a low interest in the application of LESS-RP in prostate, probably because of the technical complexity that it requires. The new robotic platform, the da Vinci SP, shows that it is clear that the long awaited evolution of robotic technologies for laparoscopy has begun, and we must not lose this momentum.
authors.affiliation: Fundación de Ciencias de la Salud Hospital de San Jose, Bogotá, Colombia. oscardario.martingarzon@gmail.com.|Instituto Médico La Floresta, Centro de Cirugía Robótica y de Invasión Mínima-CIMI, Caracas, Venezuela. oscardario.martingarzon@gmail.com.
authors.forename: Oscar Darío
authors.initials: OD
authors.lastname: Martín
authors.affiliation: Urology Department, King Abdulaziz University, Jeddah, Saudi Arabia.|Keck School of Medicine, Center for Advanced Robotic Surgery, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA.
authors.forename: Raed A
authors.initials: RA
authors.lastname: Azhar
authors.affiliation: Fundación de Ciencias de la Salud Hospital de San Jose, Bogotá, Colombia.
authors.forename: Rafael
authors.initials: R
authors.lastname: Clavijo
authors.affiliation: Fundación de Ciencias de la Salud Hospital de San Jose, Bogotá, Colombia.
authors.forename: Camilo
authors.initials: C
authors.lastname: Gidelman
authors.affiliation: Instituto Médico La Floresta, Centro de Cirugía Robótica y de Invasión Mínima-CIMI, Caracas, Venezuela.
authors.forename: Luis
authors.initials: L
authors.lastname: Medina
authors.affiliation: Instituto Médico La Floresta, Centro de Cirugía Robótica y de Invasión Mínima-CIMI, Caracas, Venezuela.
authors.forename: Nelson Ramirez
authors.initials: NR
authors.lastname: Troche
authors.affiliation: Instituto Médico La Floresta, Centro de Cirugía Robótica y de Invasión Mínima-CIMI, Caracas, Venezuela.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Brunacci
authors.affiliation: Keck School of Medicine, Center for Advanced Robotic Surgery, USC Institute of Urology, University of Southern California, Los Angeles, CA, USA.|Instituto Médico La Floresta, Centro de Cirugía Robótica y de Invasión Mínima-CIMI, Caracas, Venezuela.
authors.forename: René
authors.initials: R
authors.lastname: Sotelo
mesh_terms: D004867:Equipment Design; D005544:Forecasting; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D008297:Male; D008488:Medical Illustration; D011468:Prostatectomy / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D011471:Prostatic Neoplasms / Q000601:surgery*; D065287:Robotic Surgical Procedures / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D013525:Surgical Instruments
keywords: Laparoscopic prostatectomy; Robotic prostatectomy; Single port radical prostatectomy; Single-site surgery