Robot-Assisted Radical Prostatectomy Using the KangDuo-SR-2000: A Prospective, Multicenter, Single-Arm Clinical Study

Area of Science:

• Urology
• Surgical Robotics
• Oncology

Background:

• Robotic assisted radical prostatectomy (RARP) is a standard treatment for prostate cancer.
• Evaluating novel robotic systems is crucial for advancing surgical techniques.
• The KangDuo-Surgical-Robot-2000 (KD-SR-2000) is a newly developed system for RARP.

Purpose of the Study:

• To assess the feasibility, safety, and effectiveness of the KD-SR-2000 in RARP.
• To evaluate perioperative outcomes, oncologic control, and patient continence.
• To measure the ergonomic workload associated with the KD-SR-2000 system.

Main Methods:

• A prospective, multicenter, single-arm trial involving 30 patients with T1-3 prostate cancer.
• Patients underwent RARP using the KD-SR-2000.
• Outcomes assessed included perioperative results, oncologic control, urinary continence, and NASA-TLX scores.

Main Results:

• All 30 RARP surgeries were completed successfully without conversion or severe complications (Clavien-Dindo grade ≥ III).
• Positive surgical margins occurred in 16.7% of patients, and 3.3% had PSA persistence at 6 weeks.
• Urinary continence was achieved in 66.7% of patients at 4 weeks post-catheter removal, with a median NASA-TLX score of 22.5.

Conclusions:

• The KD-SR-2000 robotic system demonstrates preliminary feasibility, safety, and effectiveness for RARP.
• The system is a viable option for prostate cancer surgery, with acceptable early oncologic and functional outcomes.
• Further studies are warranted to confirm long-term results and compare with existing robotic platforms.