Single-Port Robot-Assisted Perineal Prostatectomy and Pelvic Lymphadenectomy: Step-by-Step Technique in a Cadaveric Model

The envelope is constantly being pushed to minimize the invasiveness of prostate cancer surgery without compromising oncologic or functional outcomes. Transperitoneal robot-assisted radical prostatectomy has certainly accomplished these goals. However, it is our intent to push the envelope even further, that is, to minimize the invasiveness of already minimally invasive surgery. To accomplish this lofty goal, we borrowed the transperineal approach from open surgery and fused it with the latest robotic technology to innovate an extraperitoneal robotic prostatectomy technique that is less invasive than the traditional robotic technique.