Clark A. Wilson's research while affiliated with Cleveland Clinic and other places

... RAKT using single port robot have also been described. 9 ...

... Encouraging findings supported the possibility of a robotic perineal approach and the latest da Vinci SP system, purposed built for single-port surgeries with an "elbow" structure and allowing a single arm to have 360° of anatomical access [7], made it more attractive to additional surgeons. Subsequently, Tugcu et al. [8],Vitarelli et al. [9], Chang et al. [10], and Lenfant et al. [11] reported their case series. These investigations all demonstrated that sp-pRARP was a feasible and safe approach. ...

... This is because although the robot system multijoint instrument arm and simulated wrist instrument improve the problem of too narrow operation space to some extent, the collision between robotic arms will still occur during placement of a slightly large free suture, which also makes it more difficult for assistants to cooperate. Previous studies suggest that compared with traditional transperitoneal multi-incision RARP, single-incision extraperitoneal RARP has a shorter hospitalization time, less demand for postoperative painkillers and anaesthetics, and a considerable incidence of postoperative complications and readmission rate 17 . Some studies suggest that the use of the da Vinci SP platform operation can classify RARP as daytime surgery and can reduce or avoid the use of analgesics. ...

... Some studies suggest that the use of the da Vinci SP platform operation can classify RARP as daytime surgery and can reduce or avoid the use of analgesics. Short-term function and oncology results are not significantly different compared to routine hospitalization 18 . Some scholars believe that the single-incision scar has the highest score in terms of psychosocial impact and aesthetics, which will have a great impact on the quality of life of patients 19,20 . ...

... Wilson et al. previously validated the feasibility of an outpatient protocol for extraperitoneal (EP) SP-RALP [9]. Another retrospective study conducted at the same institution concluded that increased OR time and postoperative narcotic administration were factors significantly associated with increased likelihood of inpatient care following EP SP-RALP [10]. ...

... This AI system revolutionized the traditional surgical model. For example, with the application of the Da Vinci surgical AI system, thyroid surgery was improved in terms of the postoperative cosmesis and voice outcomes [53] , maxillary surgery was improved in terms of the accuracy and safety [54] , gastric, nephritic, and prostatic surgery was improved as shown by the high surgical success rate but low complication rate [55][56][57] , and lung cancer surgery was beneficial to the patients in terms of the postoperative recovery [58] . Except for the above points of surgical operation enhancement, compared to traditional surgical systems, the most outstanding characteristic of AI surgical systems particularly lies in "AI", meaning that the surgical systems progressed from a nonintelligent form to an intelligent form. ...

... The adoption of SDD will be further enhanced by new surgical systems and techniques. The da Vinci SP ® (Intuitive Surgical, Sunnyvale, CA, USA) single-port robotic system reduces skin incisions and tissue manipulation with the potential for decreased postoperative pain and earlier convalescence [11]. The system also facilitates extraperitoneal radical prostatectomy with demonstrated shorter postoperative stays and decreased postoperative narcotics, compared to the traditional transperitoneal approach [12]. ...

... Studies have shown that the single-port (SP) system may allow for a shorter hospital stay, decreased postoperative pain, and improved scar cosmesis [7,8]. To date, the literature on SP-RAPN is limited, consisting mainly of case series, initial experiences, and a few comparative studies [9][10][11][12][13]. In the present study, we report the results of the first and largest propensity score-matched study comparing the perioperative and short-term functional and oncological outcomes of patients undergoing single-port robotic-assisted partial nephrectomy and multiport (MP) robotic-assisted partial nephrectomy. ...

... Single-port RARP could be performed in a smaller operating space, which allows it to be performed in extraperitoneal ways more easily (31). Compared with transperitoneal single-port RARP, extraperitoneal singleport RARP is associated with a significantly shorter postoperative hospital stay and decreased need for postoperative narcotics (32). ...

... Additionally, robotic-assisted perineal prostatectomy has been of interest in the recent years demonstrating acceptable functional and oncological outcomes. However, data are derived mainly from single institution small-sized cohorts and should be interpreted with caution (8). ...