Impact of prior robotic surgical expertise on the results of Hugo RAS radical prostatectomy: a propensity score-matched comparison between Da Vinci-expert and non-Da Vinci-expert surgeons - Summary - MDSpire

Impact of prior robotic surgical expertise on the results of Hugo RAS radical prostatectomy: a propensity score-matched comparison between Da Vinci-expert and non-Da Vinci-expert surgeons

  • By

  • Filippo Gavi

  • Maria Chiara Sighinolfi

  • Daniele Fettucciari

  • Cristina Carerj

  • Filippo Marino

  • Enrico Panio

  • Pierluigi Russo

  • Nazario Foschi

  • Riccardo Bientinesi

  • Carlo Gandi

  • Giuseppe Palermo

  • Angelo Totaro

  • Emilio Sacco

  • Bernardo Rocco

  • April 20, 2025

  • 0 min

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Objective:

To determine whether surgeons’ prior experience with the da Vinci robot impacts perioperative and oncological outcomes of radical prostatectomy performed with the Hugo RAS system.

Key Findings:
  • No significant difference in PSM rate between DVE (17%) and NDVE (21%; p = 0.40).
  • Clavien-Dindo complications were similar across both groups (p = 0.63).
  • DVE surgeons had shorter operative times (mean 206 min) compared to NDVE (mean 179 min; p = 0.0004).
  • Estimated blood loss was higher in the NDVE group (mean 161 ml) compared to DVE (mean 127 ml; p = 0.008).
  • One-year biochemical recurrence rates were similar between groups (11% for both).
Interpretation:

The study suggests that prior experience with the da Vinci robot does not significantly impact the safety and oncological outcomes of radical prostatectomy performed with the Hugo RAS system.

Limitations:
  • Study conducted in a single institution, which may limit generalizability.
  • Small sample size after propensity score matching may affect statistical power.
Conclusion:

The introduction of Hugo RAS in a robotic naïve setting shows comparable outcomes to those achieved by experienced Da Vinci surgeons, indicating the potential for effective use of the Hugo system.

Original Source(s)

Impact of prior robotic surgical expertise on the results of Hugo RAS radical prostatectomy: a propensity score-matched comparison between Da Vinci-expert and non-Da Vinci-expert surgeons

  • by Filippo Gavi, Maria Chiara Sighinolfi, Daniele Fettucciari, Cristina Carerj, Filippo Marino, Enrico Panio, Pierluigi Russo, Nazario Foschi, Riccardo Bientinesi, Carlo Gandi, Giuseppe Palermo, Angelo Totaro, Emilio Sacco, Bernardo Rocco

  • April 20, 2025

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