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Ditonno et al. Mini-invasive Surg 2023;7:36 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2023.62

Review Open Access

Single port partial nephrectomy: techniques and

outcomes

3
1,2
4
1,3
1,4
Francesco Ditonno , Antonio Franco , Celeste Manfredi , Cosimo De Nunzio , Marco De Sio ,
2
Alessandro Antonelli , Riccardo Autorino 1
1
Department of Urology, Rush University Medical Center, Chicago, IL 60612, USA.
2
Department of Urology, University of Verona, Verona 37126, Italy.
3
Department of Urology, Sant’Andrea Hospital, La Sapienza University, Rome 00189, Italy.
4
Urology Unit, Department of Woman, Child and General and Specialized Surgery, Luigi Vanvitelli University, Naples 80138,
Italy.
Correspondence to: Prof. Riccardo Autorino, Department of Urology, Rush University Medical Center, 1725 W. Harrison Street,
Suite 970, Chicago, IL 60612, USA. E-mail: ricautor@gmail.com; riccardo_autorino@rush.edu
How to cite this article: Ditonno F, Franco A, Manfredi C, De Nunzio C, De Sio M, Antonelli A, Autorino R. Single port partial
nephrectomy: techniques and outcomes. Mini-invasive Surg 2023;7:36. https://dx.doi.org/10.20517/2574-1225.2023.62
Received: 7 Jun 2023 First Decision: 16 Oct 2023 Revised: 17 Oct 2023 Accepted: 6 Nov 2023 Published: 13 Nov 2023
Academic Editor: Chi-Fai Ng Copy Editor: Pei-Yun Wang Production Editor: Pei-Yun Wang

Abstract
Nephron-sparing surgery is the standard treatment for cT1 renal masses, and robot-assisted partial nephrectomy
(RAPN) has gained popularity due to its minimally invasive nature and potential advantages in terms of earlier
discharge and lower post-operative pain. The Da Vinci Single Port® (SP) system offers the advantages of a smaller
incision and the ability to work in smaller spaces. This narrative review aims to address the technical aspects and
collect existing evidence on surgical, oncological, and functional outcomes of SP RAPN. Initial experiences with SP
RAPN have demonstrated safety and feasibility, both through transperitoneal and retroperitoneal approaches.
Several studies have reported similar peri- and post-operative outcomes between SP and multi-port RAPN. Overall,
SP RAPN appears to be a promising technique that expands the role of retroperitoneal approaches. This holds the
potential to expedite post-operative recovery and minimize hospital stays.

Keywords: Minimally invasive surgery, renal masses, single port robot-assisted partial nephrectomy, surgical
outcomes

© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
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