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Comparative analysis of robot-assisted simple prostatectomy: the HUGO™ RAS system versus the DaVinci® Xi system.
E Balestrazzi1,2,3, M Paciotti4,5,6, A Piro4,5,7
1Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium. eleonora.balestrazzi@gmail.com.
Prostate Cancer and Prostatic Diseases
|September 28, 2023
Summary
Robot-Assisted Simple Prostatectomy (RASP) using the HUGO™ RAS System showed similar perioperative and functional outcomes compared to the DaVinci® Xi System. This suggests the HUGO™ RAS is a viable option for robot-assisted procedures in benign conditions.
Area of Science:
- Urology
- Robotic Surgery
- Surgical Technology
Background:
- Robot-Assisted Simple Prostatectomy (RASP) is a key treatment for benign prostatic obstruction (BPO).
- Comparative studies on different robotic platforms for RASP are limited.
- This study addresses the need for comparative data on RASP platforms.
Purpose of the Study:
- To compare perioperative and functional outcomes of RASP performed with the HUGO™ RAS System versus the DaVinci® Xi System.
- To evaluate the efficacy and safety of the HUGO™ RAS System in RASP procedures.
- To provide data supporting the use of alternative robotic platforms in treating BPO.
Main Methods:
- Retrospective study of 40 consecutive RASP cases (May 2021-March 2023).
- Comparison between HUGO™ RAS System and DaVinci® Xi System groups (20 patients each).
- Analysis of baseline characteristics, peri-operative, and functional outcomes by experienced surgeons.
Main Results:
- No significant differences in total operative time, console time, or technical robotic problems between the systems.
- No conversions to open surgery or additional port placements were required.
- Perioperative and functional outcomes were comparable between the HUGO™ RAS and DaVinci® Xi groups (p ≥ 0.2).
Conclusions:
- The HUGO™ RAS System demonstrates comparable perioperative and functional outcomes to the DaVinci® Xi System for RASP.
- Findings support the HUGO™ RAS System as a promising alternative for robot-assisted procedures.
- This expands the potential utilization of robotics for benign urological conditions.

