title: Initial experience with the new da Vinci single-port robot-assisted platform.
abstract: OBJECTIVE
  To describe our experience in the first cases of urological surgeries performed with the da Vinci single-port robot-assisted platform.
  
  
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España. Electronic address: rbdballestero@yahoo.es.
authors.forename: R
authors.initials: R
authors.lastname: Ballestero Diego
authors.affiliation: Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España.
authors.forename: S
authors.initials: S
authors.lastname: Zubillaga Guerrero
authors.affiliation: Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España.
authors.forename: D
authors.initials: D
authors.lastname: Truan Cacho
authors.affiliation: Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España.
authors.forename: C
authors.initials: C
authors.lastname: Carrion Ballardo
authors.affiliation: Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España.
authors.forename: G
authors.initials: G
authors.lastname: Velilla Diez
authors.affiliation: Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España.
authors.forename: P
authors.initials: P
authors.lastname: Calleja Hermosa
authors.affiliation: Servicio de Urología, Hospital Universitario Marqués de Valdecilla. Santander, España.
authors.forename: J L
authors.initials: JL
authors.lastname: Gutiérrez Baños
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D065287:Robotic Surgical Procedures / Q000295:instrumentation; D013520:Urologic Surgical Procedures / Q000379:methods*
keywords: Cirugía; Puerto único; Robot-assisted; Robótica; Single-port; Surgery