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Comparative analysis of robot-assisted simple prostatectomy: the HUGO™ RAS system versus the DaVinci® Xi system

Prostate Cancer and Prostatic Diseases (2023)Cite this article

Subjects

Abstract

Background

Robot-Assisted Simple Prostatectomy (RASP) has emerged as a promising alternative in the treatment of benign prostatic obstruction (BPO). However, there is currently a lack of comparative studies evaluating different robotic platforms for performing RASP. Therefore, we aimed to compare perioperative and functional outcomes of RASP performed using the HUGO™ RAS System versus the DaVinci® Xi System.

Methods

Forty consecutive cases of RASP performed between May 2021 and March 2023 with the HUGO™ RAS and the DaVinci® Xi at OLV Hospital (Aalst, Belgium) were included in this retrospective study. All surgeries were performed by three experienced surgeons using the same approach. Baseline characteristics, peri-operative and functional outcomes were collected and compared between the two groups.

Results

The population was equally divided between the two groups with 20 patients in each group. There were no significant differences in preoperative patient characteristics between the two groups, except for the presence of bladder stones prior to the surgery (p = 0.03). No significant differences in total operative time and console time between the two groups were reported (p = 0.3). No cases required conversion to open surgery or additional port placement. During one case performed with the HUGO™ RAS, a malfunctioning monopolar curved shear had to be replaced. However, there was no statistically significant differences in terms of technical robotic problems between the groups (p = 0.3). There was no significant difference between the two groups in perioperative and functional outcomes (all p ≥ 0.2).

Conclusions:

We did not observe any statistically significant difference in perioperative and functional outcomes in case of RASP performed with the HUGO™ RAS System and with the DaVinci® Xi System. These findings provide compelling support for considering the HUGO™ RAS as a promising tool for robot-assisted procedures, thereby expanding the utilization of robotics for benign conditions.

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Fig. 1: Operating room setting and port placement for RASP with the HUGO™ RAS System.
Fig. 2: Trocar placement for RASP with the HUGO™ RAS System.
Fig. 3: Trocar placement for RASP with the DaVinci® Xi System.

Data availability

Data are available from the corresponding author upon reasonable request.

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Acknowledgements

The authors would like to thank Jesus Dominguez for his contribution and Olivier Mahieu for his constant support.

Author information

Authors and Affiliations

  1. Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium

    E. Balestrazzi, M. Paciotti, A. Piro, F. Piramide, C. A. Bravi, M. Peraire Lores, G. Sorce, M. Ticonosco, N. Frego, S. Rebuffo, C. Colla’-Ruvolo, M. Belmonte, R. De Groote, G. De Naeyer & A. Mottrie

  2. ORSI Academy, Gent, Belgium

    E. Balestrazzi, M. Paciotti, A. Piro, F. Piramide, C. A. Bravi, M. Peraire Lores, G. Sorce, M. Ticonosco, N. Frego, S. Rebuffo, C. Colla’-Ruvolo, M. Belmonte & A. Mottrie

  3. Division of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy

    E. Balestrazzi & A. Mottaran

  4. Department of Urology, Humanitas Research Hospital- IRCCS, Rozzano, Italy

    M. Paciotti & N. Frego

  5. Department of Urology, Azienda Ospedaliero-Universitaria, University of Modena & Reggio Emilia, Modena, Italy

    A. Piro & M. Ticonosco

  6. Department of Oncology, Division of Urology, University of Turin, San Luigi Gonzaga Hospital, Turin, Italy

    F. Piramide

  7. Unit of Urology, Division of Experimental Oncology, Urological Research Institute, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

    G. Sorce

  8. Department of Urology, Policlinico San Martino Hospital, University of Genova, Genova, Italy

    S. Rebuffo

  9. Department of Neurosciences, Reproductive Sciences and Odontostomatology, School of Medicine, University of Naples “Federico II”, Naples, Italy

    C. Colla’-Ruvolo

  10. Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy

    M. Belmonte

  11. Unit of Oncologic Minimally-Invasive Urology and Andrology, Careggi Hospital, Florence, Italy

    M. Belmonte

  12. Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, Florence, Italy

    M. Belmonte

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Contributions

EB: methodology, investigation, data collection, formal analysis, writing—original draft. MP: conceptualization, investigation, writing—review & editing, data curation, visualization. CAB: investigation, writing—review & editing. FP: investigation, validation. GS: investigation, validation. MT: investigation, validation. MPL: investigation, validation. AP: investigation, validation. NF: investigation, validation. SR: investigation, validation. CC-R: investigation, validation. MB: investigation, validation. RDG: supervision, validation. GDN: review & editing, data curation, visualization, supervision. AM: supervision, validation.

Corresponding author

Correspondence to E. Balestrazzi.

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The authors certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript. The authors declare that this study has been conducted according to the ethical guidelines of the Declaration of Helsinki. All authors read and approved the final version of the manuscript.

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Balestrazzi, E., Paciotti, M., Piro, A. et al. Comparative analysis of robot-assisted simple prostatectomy: the HUGO™ RAS system versus the DaVinci® Xi system. Prostate Cancer Prostatic Dis (2023). https://doi.org/10.1038/s41391-023-00726-7

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