A comparative analysis of the HUGOTM robot-assisted surgery system and the Da Vinci® Xi surgical system for robot-assisted sacrocolpopexy for pelvic organ prolapse treatment

IF 2.3 3区医学 Q2 SURGERY International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2023-10-20 DOI:10.1002/rcs.2587

Claudia Collà Ruvolo, Margarita Afonina, Eleonora Balestrazzi, Marco Paciotti, Adele Piro, Federico Piramide, Carlo Andrea Bravi, Maria Peraire Lores, Gabriele Sorce, Mario Belmonte, Silvia Rebuffo, Marco Ticonosco, Nicola Frego, Giorgia Gaia, Ruben De Groote, Alexandre Mottrie, Geert De Naeyer

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Abstract

Background

We aimed to compare the outcomes of Robot-assisted sacrocolpopexy (RASC) performed using the novel HUGO^TM Robot-Assisted Surgery (RAS) System with the Da Vinci^® Xi surgical system.

Methods

Data from 38 women undergoing RASC for a ≥ 2-grade pelvic organ prolapse were collected (2021–2023).

Results

Overall, 23 (60.5%) and 15 (39.5%) procedures were performed using the DaVinci^® Xi and the HUGO^TM RAS system, respectively. The median total operative time was 123 (IQR:106.5–140.5) minutes for the DaVinci^® Xi versus 120 (IQR:120–146) minutes for the HUGO^TM RAS cases (p = 0.5). No conversion to open/laparoscopic surgery, perioperative complications, or system failures occurred. No differences were recorded according to day of catheter removal and length of stay.

Conclusions

This study represents the first worldwide comparison of RASC executed using the HUGO^TM RAS versus the Da Vinci^® Xi System. Our data suggest that RASC might be performed with both robotic platforms with similar perioperative outcomes.

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HUGOTM机器人辅助手术系统和Da Vinci®Xi机器人辅助骶阴道切除术治疗盆腔器官脱垂手术系统的比较分析。

背景：我们旨在比较使用新型HUGOTM机器人辅助手术（RAS）系统和Da Vinci®Xi手术系统进行的机器人辅助骶阴道切除术（RASC）的结果。方法：收集38名因≥2级盆腔器官脱垂而接受RASC的女性（2021-2023年）的数据。结果：总体而言，分别使用DaVinci®Xi和HUGOTM RAS系统进行了23次（60.5%）和15次（39.5%）手术。DaVinci®Xi的中位总手术时间为123（IQR:106.5-140.5）分钟，而HUGOTM RAS病例的中位手术时间为120（IQR:120-146）分钟（p=0.5）。未发生转为开放/腹腔镜手术、围手术期并发症或系统故障。根据导管移除日期和停留时间，没有记录任何差异。结论：本研究首次在全球范围内对使用HUGOTM RAS与Da Vinci®Xi系统执行的RASC进行比较。我们的数据表明，RASC可能在两种机器人平台上进行，围手术期结果相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.