Jeremy Slawin, MD, MBA, presented “How has the SP Robot Affected Our Approach to Radical Prostatectomy?” at the 28th Annual Innovations in Urologic Practice conference on September 20, 2024.
How to cite: Slawin, Jeremy. “How has the SP Robot Affected Our Approach to Radical Prostatectomy?” September 2024. Accessed Nov 2024. https://grandroundsinurology.com/how-has-the-sp-robot-affected-our-approach-to-radical-prostatectomy/
How has the SP Robot Affected Our Approach to Radical Prostatectomy? – Summary
Jeremy Slawin, MD, MBA, highlights the impact of single-port robotic technology on radical prostatectomy, emphasizing its shift from a traditional multiport, transperitoneal approach to a renewed focus on extra-peritoneal surgery.
In this 21-minute presentation, Slawin explores the evolution of prostatectomy techniques, contrasting the older extra-peritoneal open surgeries with the recent dominance of transperitoneal, multiport robotic procedures driven by advancements in minimally invasive technology. With the advent of the single-port robotic platform, surgeons are revisiting extra-peritoneal approaches.
Dr. Slawin reviews the steps for the SP robotic procedure, pointing out benefits and differences from more traditional procedures. The single-port approach allows all instruments to be introduced through a single cannula, facilitating operations in confined spaces. Slawin shares a video of the process, helping to illustrate these steps and addressing possible questions.
Early outcomes from comparative studies indicate similar surgical margin and continence rates between single-port and multiport approaches. However, there is a trend towards reduced pain, lower opioid usage, and shorter hospital stays with single-port extra-peritoneal surgeries. The challenges include a learning curve, reduced lymph node yields, and the need for technical adjustments, particularly due to arm interdependence and limited instrument strength.
About The 28th Annual Innovations in Urologic Practice:
Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma; men’s health topics like male infertility, andrology, and sexual dysfunction; OAB and voiding dysfunctions; and ways to diagnose and treat infections in the urology patient.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Jeremy Slawin, MD, MBA, is an Assistant Professor of Urology at Baylor College of Medicine in Houston, Texas and a staff surgeon at the Michael E. DeBakey VA Medical Center in Houston, Texas. Dr. Slawin earned his MD from Baylor College of Medicine and his MBA from Rice University. Dr. Slawin completed a fellowship in robotic surgery and urologic oncology at Houston Methodist Hospital. Dr. Slawin completed his residency in urology at the NYU Grossman School of Medicine at Langone Medical Center at Bellevue Hospital and at the Manhattan VA Hospital in New York City, New York.
