Article ; Online: Skills transfer from the DaVinci® system to the Hugo™ RAS system.
International urology and nephrology
2023 Volume 56, Issue 2, Page(s) 389–397
Abstract: Purpose: Recently, the robotic surgical system, Hugo™ was approved for clinical use. The transfer of skills is important for understanding the implementation of surgical innovation. We explored the transfer of skills from the DaVinci® to the Hugo™ by ... ...
| Abstract | Purpose: Recently, the robotic surgical system, Hugo™ was approved for clinical use. The transfer of skills is important for understanding the implementation of surgical innovation. We explored the transfer of skills from the DaVinci® to the Hugo™ by studying the learning curve and short-term patient outcomes during radical prostatectomy (RARP). Methods: We examined the transfer of skills from one surgeon performing RARP from the first case with the Hugo™ system in April 2022. The surgeon had previously performed > 1000 RARPs using DaVinci®. Perioperative and clinical outcomes were collected for procedures on both Hugo™ and DaVinci®. Patient follow-up time was 3 months. Results: Nineteen Hugo™ cases and 11 DaVinci® cases were recorded. No clinically relevant difference in procedure time was found when transferring to Hugo™. Patients operated using Hugo™ had more contacts postoperatively compared to the DaVinci®, all Clavien-Dindo (CD) grade 1 (53% vs 18%). Three patients from the Hugo™ group were re-admitted within 30 days with catheter malfunction (CD grade 1), infection without a focus (CD grade 2), and ileus due to a hernia in the port hole (CD grade 3b). The 3-month follow-up showed similar results in prostate-specific antigen levels (PSA) and erectile dysfunction between the two robotic systems, but a higher incidence of incontinence was found for the Hugo™. Conclusion: We observed that the skills of an experienced robotic surgeon are transferable from DaVinci® to Hugo™ when performing RARP. No obvious benefits were found for using Hugo™ compared to DaVinci® for RARP although this needs confirmatory studies. |
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| MeSH term(s) | Male ; Humans ; Robotic Surgical Procedures/adverse effects ; Prostatic Neoplasms/surgery ; Prostatic Neoplasms/complications ; Prostate/surgery ; Prostatectomy/methods ; Erectile Dysfunction/etiology |
| Language | English |
| Publishing date | 2023-09-29 |
| Publishing country | Netherlands |
| Document type | Journal Article |
| ZDB-ID | 204048-7 |
| ISSN | 1573-2584 ; 0301-1623 ; 0042-1162 |
| ISSN (online) | 1573-2584 |
| ISSN | 0301-1623 ; 0042-1162 |
| DOI | 10.1007/s11255-023-03807-7 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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