Abstract & Overview
Purpose: Robotic-assisted radical prostatectomy (RARP) continues to advance with the intro duction of single-port (SP) platforms and extraperitoneal approaches.This report outlines our initial experience with single-port extraperitoneal RARP (SP-EP RARP), employing limited apical dissection in a patient with a challenging abdominal history. Surgical Methods:The surgical method largely mirrors traditional multiport techniques while utilizing the SP system's benefits-less invasiveness, simplified specimen retrieval, and enhanced ergonomics in restricted operative fields.Our technique prioritizes athermic tissue handling, deliberate camera movements, interfascial nerve-sparing strategies, and restrained apical dissection to support early continence restoration.Results: This case demonstrates the practicality and safety of SP-EP RARP in technically demanding scenarios, offering procedural insights to enhance results. Conclusions:This method may provide a safe and consistent template for institutions adopting SP technology while ensuring oncologic safety and preservation of function.