TY  - EJOU
AU  - Tanimoto, Ryuta 
AU  - Inoue, Shota 
AU  - Sano, Yuho 
AU  - Kamada, Satoko 
AU  - Sugino, Kenji 
AU  - Sasaki, Katsumi 
AU  - Yoshinaga, Kasumi 
AU  - Maruyama, Yuki 
AU  - Tominaga, Yusuke 
AU  - Katayama, Satoshi 
AU  - Nishimura, Shingo 
AU  - Bekku, Kensuke 
AU  - Sadahira, Takuya 
AU  - Iwata, Takehiro 
AU  - Edamura, Kohei 
AU  - Kobayashi, Tomoko 
AU  - Kobayashi, Yasuyuki 
AU  - Araki, Motoo 

TI  - Comparison of patient-reported outcomes between supraumbilical and transumbilical camera port placement in robot-assisted laparoscopic prostatectomy: a prospective randomized trial
T2  - Canadian Journal of Urology

PY  - 
VL  - 
IS  - 
SN  - 1488-5581

AB  -  <b>Objectives:</b> Supraumbilical (SU) camera ports are typically used during robot-assisted laparoscopic prostatectomy; however, transumbilical (TU) incisions may offer potential cosmetic advantages. This study aimed to compare patient-reported outcomes, including cosmetic outcomes, postoperative pain, and quality of life, between these two approaches. <b>Methods:</b> Between January 2019 and February 2022, 98 patients with localized prostate cancer were randomized to either a SU (n = 50) or TU (n = 48) camera port group, stratified by prostate volume, Gleason score, and age. Body image and cosmetic scale scores, postoperative pain, and health-related quality of life outcomes were prospectively assessed. <b>Results:</b> Baseline characteristics and perioperative outcomes were comparable between groups. Body image and cosmetic scale scores did not differ significantly. Pain scores on postoperative day 1 were significantly higher in the TU group (median difference 1 point; TU 3.0 [IQR 2.3–5.0] vs. SU 3.0 [IQR 2.0–4.0]; p = 0.0165), although the absolute difference was modest and did not persist at POD 7. Quality-of-life scores and perioperative complication rates were comparable. <b>Conclusions:</b> This randomized controlled trial suggests that TU camera port placement may not provide a cosmetic advantage and may be associated with increased early postoperative pain compared with a SU approach in robot-assisted laparoscopic prostatectomy (RALP).
KW  - cosmetics; patient-reported outcomes; prostatectomy; robotics; transumbilical camera port placement; supraumbilical camera port placement

DO  - 10.32604/cju.2026.079886