Editorial: Technological evolution in minimally-invasive radical prostatectomy. From laparoscopic to single-port robotically assisted - Report - MDSpire

Editorial: Technological evolution in minimally-invasive radical prostatectomy. From laparoscopic to single-port robotically assisted

  • By

  • Gernot Ortner

  • Theodoros Tokas

  • June 1, 2026

  • 0 min

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Clinical Report: Advancements in Minimally Invasive Radical Prostatectomy Techniques

Overview

This editorial discusses the evolution of minimally invasive radical prostatectomy techniques, highlighting the transition from laparoscopic to single-port robotic assistance. Key advancements focus on reducing surgical morbidity while maintaining oncological efficacy and improving functional outcomes.

Background

Minimally invasive surgery has transformed the management of localized prostate cancer over the past two decades. The shift from traditional laparoscopic techniques to robotic-assisted and single-port approaches aims to enhance precision, reduce recovery times, and improve patient outcomes. Understanding these advancements is crucial for optimizing surgical practices and patient care.

Data Highlights

No specific numerical data provided in the editorial.

Key Findings

  • The transition to robotic-assisted surgery enhances precision and standardization in prostatectomy.
  • Functional outcomes, including urinary continence and sexual function, are increasingly prioritized alongside oncological control.
  • Advancements in preoperative imaging, such as multiparametric MRI, significantly influence surgical planning and outcomes.
  • Collaboration between surgical and anaesthesiological teams is essential for optimizing perioperative management.
  • Future developments may include new robotic platforms and telesurgical concepts to improve accessibility and training.

Clinical Implications

Surgeons should consider the integration of advanced imaging techniques and a comprehensive perioperative approach to enhance patient outcomes. Ongoing training and evaluation of new technologies are essential to maintain safety and efficacy in surgical practice.

Conclusion

The evolution of minimally invasive radical prostatectomy reflects significant technological advancements and a deeper understanding of anatomy, which together enhance surgical practice and patient care. Continued interdisciplinary collaboration will be vital for future innovations.

Related Resources & Content

  1. Frontiers in Surgery, 2026 -- The evolution of radical prostatectomy: a scoping review on surgical techniques and integration of surgeon-assisting concepts into the surgical workflow
  2. Springer, 2024 -- Single-Incision Robot-Assisted Radical Prostatectomy
  3. Springer, 2025 -- Robotic-Assisted Radical Prostatectomy via Single-Port Approach: Assessing the Da Vinci SP System in Minimally Invasive Urologic Oncology
  4. Frontiers in Surgery, 2026 -- Demonstration of anatomical and technical details of robotic laparoscopic radical prostatectomy as described in the current literature
  5. EAU Guidelines on Prostate Cancer
  6. PubMed, 2018 -- Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: 24-month outcomes from a randomised controlled study
  7. PubMed, 2023 -- Perioperative efficiency and clinical outcomes of single-port versus multi-port robot-assisted radical prostatectomy: an updated meta-analysis
  8. EAU Guidelines on Prostate Cancer
  9. Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: 24-month outcomes from a randomised controlled study - PubMed
  10. Perioperative efficiency and clinical outcomes of single-port versus multi-port robot-assisted radical prostatectomy: an updated meta-analysis - PubMed

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