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Updated: May 22, 2026

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Emerging robotic platforms in partial nephrectomy: a comparative systematic review and network meta-analysis.

Mohammad N Almajali1, Saba'a Darwish1, Ahmad Bani-Ata1

  • 1Faculty of medicine, Jordan University of Science and Technology, Irbid, 21110, Jordan.

Journal of Robotic Surgery
|May 20, 2026
PubMed
Summary

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Emerging robotic platforms show comparable outcomes to established da Vinci systems in robotic-assisted partial nephrectomy (RAPN). While some platforms trend towards shorter operative and ischemia times, substantial heterogeneity limits definitive conclusions, necessitating further research.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Robotic-assisted partial nephrectomy (RAPN) is a leading minimally invasive technique for kidney-sparing surgery.
  • While the da Vinci system dominates evidence, newer platforms like Hugo, Hinotori, KangDuo, and MP1000 are emerging.
  • Comparative outcome data across these diverse robotic platforms are crucial for surgical decision-making.

Purpose of the Study:

  • To systematically review and perform a network meta-analysis of perioperative outcomes for various robotic-assisted partial nephrectomy (RAPN) platforms.
  • To compare the performance of emerging robotic systems against established platforms.

Main Methods:

  • A systematic literature search was conducted across PubMed, Cochrane Library, CINAHL, and Scopus.
Keywords:
Emerging robotic platformsMinimally invasiveNetwork meta-analysisPartial NephrectomyPerioperative outcomesRobotics

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  • Included studies comprised randomized and observational cohorts reporting RAPN outcomes.
  • A frequentist network meta-analysis (NMA) using the 'netmeta' R package evaluated operative time, ischemia time, and length of stay.

    • Main Results:

    • No significant differences were found in length of stay, blood loss, or R.E.N.A.L. nephrometry scores across platforms.
    • Some platforms showed favorable trends in operative and ischemia times, but these were not statistically significant under random-effects models due to substantial heterogeneity (I² ≈ 84-90%).
    • Emerging robotic systems demonstrated comparable preoperative outcomes to established systems.

    Conclusions:

    • Current evidence suggests comparable perioperative outcomes between emerging and established robotic platforms for RAPN.
    • While some platforms exhibit promising trends in operative and ischemia times, significant heterogeneity limits robust conclusions.
    • Long-term, comparative studies are essential to fully elucidate the performance of newer robotic systems in RAPN.