Laparo-endoscopic single site (LESS) robotic radical prostatectomy in an Asian man with prostate cancer: An initial case report

Objective: To report the feasibility of laparo-endoscopic single site (LESS) robotic radical prostatectomy performed in Asian man. Material and Method: A 71 year-old man with adenocarcinoma of prostate presented at Faculty of Medicine Siriraj Hospital, Bangkok. Prostate-specific antigen level was 16.5 ng/ml and digital rectal examination approximately showed 30 gram prostate with nodule in both lobes. No clinical metastasis was found. Leuprorelin acetate and 50 mg of bicalutamide were used for 3 months. The patient's body mass index was 22 and healthy. With the consent form signed, laparo-endoscopic single site (LESS) robotic radical prostatectomy was performed with the robot daVinci S system. Results: The total operative time was 335 minutes; docking time was 12 minutes; console time was 275 minutes. The estimate blood loss was 250 ml and no blood transfusion required. No intraoperative or post-operative complication was found. Jackson drain was removed within 60 hours after surgery. The patient was discharged from the hospital within 84 hours after surgery. The urethral catheter was removed within 14 days after surgery Conclusion: Laparo-endoscopic single site (LESS) robotic radical prostatectomy is feasible to be performed. In the initial experience, patient selection is required.