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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Robot-Assisted Radical Prostatectomy by the Hugo Robotic-Assisted Surgery (RAS) System and the da Vinci System: A

Hsien-Che Ou1,2, Lucian Marian3, Ching-Chia Li1,4

  • 1Department of Urology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung 807, Taiwan.

Cancers
|March 28, 2024
PubMed
Summary

Experienced urologists can adapt to the Hugo robot-assisted surgery (RAS) system for robot-assisted radical prostatectomy (RARP). While intricate steps like vesicourethral anastomosis may take longer, overall console time and patient outcomes remain unaffected.

Keywords:
maleprostatectomy/methodsprostatic neoplasms/surgeryrobotic surgical procedures/methodsrobotics/methods

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Area of Science:

  • Urology
  • Surgical Technology
  • Robotics

Background:

  • Previous studies indicate urologists adapt well to the Hugo RAS system.
  • This study further investigates specific parameters related to Hugo RAS system adoption.

Purpose of the Study:

  • To compare console time, functional outcomes, and oncological outcomes between the da Vinci (DV) and Hugo RAS systems in robot-assisted radical prostatectomy (RARP).
  • To assess the impact of adopting the Hugo RAS system on surgical performance and patient results.

Main Methods:

  • A comparative study involving 60 patients undergoing RARP by a single surgeon.
  • Patients were divided into two groups: da Vinci (DV) system (n=30) and Hugo RAS system (n=30).
  • Intraoperative times (vesicourethral anastomosis, overall console time), functional, and oncological outcomes were analyzed.

Main Results:

  • Vesicourethral anastomosis time was significantly longer with the Hugo RAS system (Hedge's g: 0.87).
  • Overall console time, functional outcomes (3rd postoperative month), and oncological outcomes (3rd postoperative month) showed no significant differences between the systems.
  • Adverse effects on surgical specimens and positive surgical margins were not significantly different (p=0.552).

Conclusions:

  • Adaptation to the Hugo RAS system may lengthen specific procedural steps but does not significantly impact overall console time.
  • Functional and oncological outcomes are not compromised during the adoption of the Hugo RAS system.
  • Urologists experienced with the da Vinci system can confidently adopt the Hugo RAS system without compromising trifecta outcomes.