Comparison of Single-Port and Multiple-Port Robot-Assisted Radical Prostatectomy: A Systematic Review and Meta-Analysis

• Na Le ^[1] ; Xiaping Zhuang ^[1] ; Yanan Yan ^[1] ; Ke Li ^[1]
  1. [1] Tongji University

     Tongji University

     China

     
• Localización: Archivos españoles de urología, ISSN 0004-0614, Tomo 78, Nº. 10, 2025, págs. 1467-1475
• Idioma: inglés
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• Resumen

  • Objective: The objective of this review was to collate and critically appraise the nascent body of evidence juxtaposing the da Vinci single-port (SP) system with its multiple-port (MP) antecedent, with the goal of ascertaining its surgical efficacy and postoperative outcomes.

    Methods: The databases searched included PubMed, Web of Science, and Embase. Two independent reviewers conducted the initial screening for potential inclusion, assessed the quality of the studies via the Newcastle-Ottawa Scale, and extracted relevant data. A third reviewer was responsible for reconciling the data. Random effects models were utilized.

    Results: The final meta-analysis included eight studies, encompassing a cohort of 1389 patients, with 502 patients allocated to the SP group and 887 to the multiple-port group. We observed no significant differences in operative duration (WMD: 0.12, 95% confidence interval (CI): –7.44–7.67), blood loss (weighted mean difference (WMD): –11.50, 95% CI: –28.89–5.90), positive surgical margins (odds ratio (OR): 0.80, 95% CI: 0.59–1.08), complications (OR: 1.29, 95% CI: 0.77–2.16), urinary continence (OR: 1.18, 95% CI: 0.86–1.62), or erectile function (OR: 0.84, 95% CI: 0.58–1.24) between the two procedural types. The meta-analysis revealed a mean difference of –0.86 days (95% CI: –1.64 to –0.08), suggesting a tendency toward shorter hospitalization for the SP group.

    Conclusions: The da Vinci SP system presents itself as a formidable contender when juxtaposed with its MP counterparts. Notwithstanding the encouraging preliminary data, a more substantial evidence base is needed to ascertain the definitive role of the SP system within the domain of urological surgery.