The introduction of the da Vinci single port (SP) surgical system (Intuitive Surgical, Sunnyvale, CA, USA) has meant a necessary evolution in the surgical techniques used to perform various Urologic surgeries, such as robotic-assisted radical cystectomy (RARC). In this paper, we describe a step-by-step technique for RARC with intracorporeal ileal conduit urinary diversion using the SP system at our institution and summarize early outcomes in the literature. The surgery was performed utilizing the standard institutional approach for radical cystectomy for the multiport robot, modified for the SP where appropriate. A total of 3 articles were found that included early patient outcomes after SP RARC. Including our institution, a total of 21 patients were included in the final analysis. The average patient age was 68 years old, 16 of the 21 patients were male, 13 of the patients had intracorporeal urinary diversions, the average operative time was 366 min with an average estimated blood loss of 185. The average length of stay was 5.4 days. Among these patients, there were three 30-day complications noted and five 90-day complications, all of which were Clavian II or lower. We conclude that RARC utilizing the SP approach is both feasible and offers several theoretical advantages over the open and multiport approaches, but further study is necessary before advocating for widespread adoption of this modality.
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