Evidence map›Paper›PMID 42579231›Full record

SynthesisJournal of robotic surgery2026

Single-port vs. multi-port robotic radical prostatectomy: an umbrella review of meta-analyses.

Lalit Kumar, Atanu Kumar Pal, Yuhong Yuan, Rudra Prasad Ghorai, T A Kishore, Mahesh R Khairnar, Eleanor Burton, Abhinav Sidana, Sumit Saini

Abstract readComparative StudySystematic Review
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In one paragraph

Synthesis in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lalit Kumar *Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India. lalitkumarims@bhu.ac.in.ORCID http://orcid.org/0000-0002-3688-5651
Atanu Kumar Pal *Vattikuti Fellow of Robotic Urologic Surgery, Aster Medcity Kochi, Kuttisahib Road Cheranelloor, South Chittoor, Kochi, 682027, Kerala, India.
Yuhong YuanDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Rudra Prasad GhoraiDepartment of Urology, JIPMER, Puducherry, India.
T A KishoreSenior Consultant and Program Director of Vattikuti Fellowship Aster Medcity Kochi, Kuttisahib Road Cheranelloor, South Chittoor, Kochi, 682027, Kerala, India.
Mahesh R KhairnarPublic Health Dentistry, Faculty of Dental Sciences, Banaras Hindu University, Varanasi, India.
Eleanor BurtonDrexel University College of Medicine, Philadelphia, Pennsylvania, United States.
Abhinav SidanaAssociate Professor of Urology, University of Chicago Medicine, Chicago, IL, USA.
Sumit SainiFaculty and Attending Urologist, Allegheny Health Network, Pittsburgh, Pennsylvania, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Single-port robotic-assisted radical prostatectomy (SP-RARP) has emerged as a minimally invasive alternative to conventional multi-port RARP (MP-RARP), aiming to reduce surgical access morbidity while maintaining oncological and functional outcomes. We performed an umbrella review to synthesize and critically appraise the available meta-analytic evidence comparing SP-RARP and MP-RARP. A systematic search of MEDLINE, EMBASE, and CENTRAL was conducted from inception to December 2025. Meta-analyses comparing SP-RARP with MP-RARP in adults undergoing radical prostatectomy for prostate cancer were included. Two reviewers independently screened studies, extracted data, and assessed methodological quality using AMSTAR-2. Outcomes evaluated included perioperative, functional, oncological, cosmetic, and economic parameters. Due to overlap of primary studies and methodological heterogeneity, findings were synthesized descriptively. Eight meta-analyses were included. Across pooled evidence, SP-RARP demonstrated significantly shorter hospital stay, smaller incision length, reduced postoperative pain, lower opioid requirements, and greater feasibility for ambulatory or same-day discharge pathways. Operative time, console time, estimated blood loss, and overall complication rates were generally comparable between approaches. Functional outcomes, including urinary continence and potency recovery, showed no significant differences. Similarly, oncological outcomes such as positive surgical margin rates and biochemical recurrence were equivalent. Current evidence suggests that SP-RARP is a safe and feasible alternative to MP-RARP, offering improved recovery and cosmetic outcomes without compromising oncological or functional results. However, the certainty of evidence remains limited by methodological weaknesses and predominantly retrospective data. High-quality prospective multicenter studies with long-term follow-up are needed to define the role of SP-RARP in contemporary prostate cancer surgery.

Indexed as

ProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresHumansLength of StayMaleMeta-Analysis as TopicOperative TimePostoperative ComplicationsTreatment OutcomeMulti-port robotic-assisted radical prostatectomy (MP-RARP)Oncological outcomesPerioperative and functional outcomesProstate cancerSingle-port robotic-assisted radical prostatectomy (SP-RARP)Umbrella review

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.