The advent of the purpose-built da Vinci single-port robotic platform marks a pivotal advancement in minimally invasive urological surgery. Designed to overcome the ergonomic and technical limitations of prior single-site approaches, the single-port system enables complex procedures through a single incision, with enhanced dexterity, optimized use of confined spaces and improved cosmetic and peri-operative outcomes. The single-port system has been increasingly used across a wide range of urological indications, including robot-assisted radical prostatectomy, partial nephrectomy, nephroureterectomy and reconstructive surgeries such as pyeloplasty and ureteral re-implantation. Innovative access strategies, such as the single-port transvesical and low anterior access approaches, have facilitated regionalized and multi-quadrant surgeries without the need for repositioning or robot re-docking. These advances have translated into reduced morbidity, faster recovery and increased feasibility of opioid-sparing, same-day discharge protocols. As surgical expertise deepens and technology evolves, the single-port robotic platform stands as a refinement of minimally invasive surgery, and also as a potential paradigm shift in urological practice.
Biasatti, A., Soputro, N. A., Porpiglia, F., Perdonà, S., Abdollah, F., Nelson, R., Rogers, C., Zhao, L. C., Ghazi, A., Challacombe, B., Eden, C., Mattei, A., Fankhauser, C. D., Breda, A., Rocco, B. M. C., Montorsi, F., Briganti, A., Pellegrino, A. A., Mottrie, A., De Groote, R., Haese, A., Graefen, M., Moschovas, M. C., Patel, V., Simone, G., Galfano, A., Secco, S., Bertolo, R., Pandolfo, S. D., Pansadoro, V., Carvalho, F. L. F., Joseph, J. V., Ramadan, M., Shakuri-Rad, J., Yuh, B., Nix, J., Lee, D. I., Rais-Bahrami, S., Hemal, S., Eltemamy, M., Beksac, A. T., Schwen, Z., Su, L., Buscarini, M., Palese, M., Tewari, A., Wiklund, P., Cherullo, E. E., Vourganti, S., Linehan, J. A., Wu, Z., Stifelman, M., Ahmed, M., Mehrazin, R., Badani, K., Link, R. E., Crivellaro, S., Kaouk, J., Autorino, R., The current landscape of single-port robotic surgery in urology, <<NATURE REVIEWS. UROLOGY>>, 2026; 23 (3): 156-173. [doi:10.1038/s41585-025-01081-z] [https://hdl.handle.net/10807/344476]
The current landscape of single-port robotic surgery in urology
Rocco, Bernardo Maria CesareMembro del Collaboration Group
;
2026
Abstract
The advent of the purpose-built da Vinci single-port robotic platform marks a pivotal advancement in minimally invasive urological surgery. Designed to overcome the ergonomic and technical limitations of prior single-site approaches, the single-port system enables complex procedures through a single incision, with enhanced dexterity, optimized use of confined spaces and improved cosmetic and peri-operative outcomes. The single-port system has been increasingly used across a wide range of urological indications, including robot-assisted radical prostatectomy, partial nephrectomy, nephroureterectomy and reconstructive surgeries such as pyeloplasty and ureteral re-implantation. Innovative access strategies, such as the single-port transvesical and low anterior access approaches, have facilitated regionalized and multi-quadrant surgeries without the need for repositioning or robot re-docking. These advances have translated into reduced morbidity, faster recovery and increased feasibility of opioid-sparing, same-day discharge protocols. As surgical expertise deepens and technology evolves, the single-port robotic platform stands as a refinement of minimally invasive surgery, and also as a potential paradigm shift in urological practice.
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