Laparoendoscopic radical prostatectomy (LRP): stepwise transition from multi-site to single-site with the aid of the tra

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UROLOGY - ORIGINAL PAPER

Laparoendoscopic radical prostatectomy (LRP): stepwise transition from multi‑site to single‑site with the aid of the transurethral port Yunfei Wei1 · Jingyuan Tang1 · Lin Yuan1 · Jian Su1 · Yang Zhang1 · Zhonglei Deng1 · Chen Zhu1 · Luming Shen1 · Ninghong Wang1 · Guojiang Xu1 · Yong Yang2 · Qingyi Zhu1 Received: 12 June 2020 / Accepted: 4 September 2020 © Springer Nature B.V. 2020

Abstract Purpose  To describe our initial experience with laparoendoscopic radical prostatectomy (LRP) and a stepwise transition towards transurethral assisted laparoendoscopic single-site RP (TU-LESS RP). Patients and methods  From Jan. 2007 to Dec. 2016, 195 patients underwent RP, of which 89 patients were performed by LRP (Group A), 106 by TU-LESS RP (Group B). The peri-operative data were collected and analyzed. All data referring to patient demographics, surgery, pathology, and peri-operative outcomes were recorded. The cosmetic result was investigated by the Patient Scar Assessment Questionnaire (PSAQ). Analysis of variance or Chi squared test were adopted to analyze the data. Results  195 procedures were completed successfully. The operation time (109.6 ± 31.9 vs. 151.5 ± 87.3, P = 0.025) and anastomosis time (10.1 ± 4.8 vs. 21.8 ± 9.9, P