Abstract
Abstract Background The single-port laparoscopic technique offers significant benefits over the traditional multiport laparoscopic method, including smaller incisions, reduced damage, less postoperative pain, quicker postoperative recovery, and shorter hospital stays, and being applied in abdominal surgery, thoracic surgery, and gynecological oncology. However, no previous study has applied the ‘Marionette’ technique for single incision (without any auxiliary port) laparoscopic radical prostatectomy (SILRP). Materials and methods We first explored in depth the detailed surgical procedures of “Marionette” SILRP, evaluated its feasibility and safety, short- and long-term urinary control, and quality of life. We included the first ten consecutive prostste cancer patients who underwent “Marionette” SILRP at our sospital between November 2023 and April 2024. Results All procedures were completed uneventfully without the need for additional ports, and no complications occurred intraoperatively. None of the patients were transferred to the intensive care unit post-surgery. Postoperative complications occurred in five patients and were classified as Clavien-Dindo grade I-II. The number of patients with complete urinary control ranged from 5 to 10 from immediate postoperative to 12 months postoperative status. Only one patient was unsatisfied with their urinary condition symptoms from one month to six months postoperatively. All patients were satisfied with their urinary condition symptoms at 12 months postoperatively. Conclusion We first explored the detailed surgical procedures of the ‘Marionette’ technique for SILRP, and could offer to hospitals start or expand their “Marionette” technique. These preliminary findings suggest that the technique is feasible and may warrant further investigation in larger, adequately powered studies. No definitive conclusions regarding safety, efficacy, or functional outcomes can be drawn from this small series.