Perioperative, functional, and oncological outcomes of Da Vinci vs. Hugo RAS for robot‑assisted radical prostatectomy: evidence based on controlled studies

Wang, Li; Yang, Jian-wei; Li, Xiaoran; Li, Kun-peng; Wan, Shun; Chen, Si-yu; Yang, Li

doi:10.1007/s11701-024-02146-8

J Robotic Surg

2024

DOI: 10.1007/s11701-024-02146-8

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Perioperative, functional, and oncological outcomes of Da Vinci vs. Hugo RAS for robot‑assisted radical prostatectomy: evidence based on controlled studies

Li Wang,

Jian-wei Yang,

Xiaoran Li

et al.

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2024

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The use of laser-assisted cart positioning significantly reduces the docking time of multimodular robotic systems

Baunacke,

Hirtsiefer,

Herout

et al. 2024

Preprint

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Background The Hugo RAS system is characterized by its multimodular design, which leads to an increased docking effort. Exact data for docking time and the learning curve is missing. We describe for the first time the use of a laser-guided cart positioning to reduce the docking time. Methods In this prospective monocentric study, the docking time was evalutated for a consecutive series of pelvic surgeries with the Hugo RAS system. In a subgroup, a cross-line laser was adapted at the cart for positioning using fix points at the ceiling. The medical personnel were classified as “inexperienced” with ≤ 5 consecutive dockings and as “experienced” with > 5 consecutive dockings. Results From 10/2023 to 08/2024, 82 procedures were performed with the Hugo RAS. For the evaluation 75 procedures could be considered. The mean docking time was 7.6 ± 3.5 min. There was a reduction in docking time from 13.5 ± 3.7 min in the first 5 procedures to 4.4 ± 0.9 min in the last 5 procedures (p < 0.001). Docking with laser (n = 45) was faster than without laser (n = 30) (6.2 ± 2.5 vs. 9.8 ± 3.7 min, p < 0.001). Faster docking time was observed with inexperienced surgical nursing staff with laser than without laser (10.4 ± 3.7 vs. 5.4 ± 1.4 min; p < 0.001). With experienced nursing staff, the laser had no influence (6.6 ± 1.3 vs. 6.7 ± 2.9 min; p = 0.9). As a reference docking time for daVinci Xi procedures was 2.4 ± 1.7 min (n = 5). Conclusion Laser-guided cart positioning has a significant impact on docking time, especially for unexperienced medical personnel. Especially in the times of experienced staff shortage, laser-guided cart positioning can save operating time.

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The use of laser-assisted cart positioning significantly reduces the docking time of multimodular robotic systems

Baunacke,

Hirtsiefer,

Herout

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

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Perioperative, functional, and oncological outcomes of Da Vinci vs. Hugo RAS for robot‑assisted radical prostatectomy: evidence based on controlled studies

Cited by 1 publication

References 24 publications

The use of laser-assisted cart positioning significantly reduces the docking time of multimodular robotic systems

The use of laser-assisted cart positioning significantly reduces the docking time of multimodular robotic systems

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