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Updated: Jun 26, 2025

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Da Vinci vs. Hugo RAS for robot-assisted radical prostatectomy: a prospective comparative single-center study.

Ricardo Brime Menendez1, Esther García Rojo1, Vital Hevia Palacios1

  • 1Department of Urology, Hospital Universitario HM Sanchinarro, HM Hospitales and ROC Clinic, Madrid, Spain.

World Journal of Urology
|May 18, 2024
PubMed
Summary

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Robot-assisted radical prostatectomy (RARP) outcomes were similar between the Hugo RAS and Da Vinci systems. Further research is needed to confirm long-term oncological and functional results for prostate cancer treatment.

Area of Science:

  • Urology
  • Surgical Technology
  • Oncology

Background:

  • Robot-assisted radical prostatectomy (RARP) is a standard treatment for prostate cancer.
  • The Da Vinci system has been the dominant robotic platform.
  • The Hugo RAS system is a newer alternative for RARP.

Purpose of the Study:

  • To compare the clinical outcomes of RARP using the Hugo RAS system versus the Da Vinci system.
  • To evaluate operative, postoperative, pathological, and functional results for prostate cancer patients.

Main Methods:

  • A comparative study of 150 prostate cancer patients undergoing RARP.
  • Patients were divided into two groups: 75 treated with the Hugo RAS system and 75 with the Da Vinci system.
  • Outcomes assessed included operative times, postoperative recovery, pathological findings, and functional results (urinary continence and erectile function).
Keywords:
Da VinciHugo RASProstate cancerRobot-assisted radical prostatectomyRobotic systems

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Main Results:

  • Operative times were comparable, though Da Vinci had shorter docking times.
  • Hugo RAS demonstrated faster times for neck dissection and lymphadenectomy.
  • Postoperative recovery, complications, and functional outcomes were similar between both systems.
  • Hugo RAS showed a higher rate of positive surgical margins (20% vs. 10.67%).

Conclusions:

  • The Hugo RAS system provides comparable outcomes to the Da Vinci system for RARP in prostate cancer.
  • Long-term oncological control and functional recovery require further investigation with extended follow-up.
  • The Hugo RAS system is a viable alternative for RARP, with specific considerations for surgical margins.