Abstract
New robot models, such as hinotori™, da Vinci SP™, and Hugo™, have been introduced in Japan. This study examined the surgical outcomes of these models in patients from the initial stages of their introduction to the present day.
We retrospectively reviewed 36 patients with endometrial cancer or benign gynecologic disease, who underwent robotic hysterectomy using da Vinci SP™, hinotori™, or Hugo™ between March 2023 and March 2024.
Robotic hysterectomy was performed using hinotori™ in 10 patients, da Vinci SP™ in 16 patients, and Hugo™ in 10 patients. No significant differences were observed in the characteristics of the patients subjected to surgery using these models. The total operative time was 123.0 min (93–144 min) for hinotori™, 95.0 min (79–165 min) for da Vinci SP™, and 98.5 min (74–177 min) for Hugo™. The total operative time of hinotori™ was significantly longer than that of the other two models (p = 0.031). No differences were observed among the robot systems with respect to complications during or after surgery and the intensity of postoperative pain.
Differences in the surgical time were noted depending on the model used. It has been proven that surgeons who are already proficient in performing robotic surgery with da Vinci Xi™ can safely perform surgeries with the new models.
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Data availability
The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.
References
Wu JM, Wechter ME, Geller EJ et al (2007) Hysterectomy rates in the United States, 2003. Obstet Gynecol 110:1091–1095. https://doi.org/10.1097/01.AOG.0000285997.38553.4b
Minelli L, Franciolini G, Franchini MA et al (1990) Laparoscopic hysterectomy. Minerva Ginecol 42:515–518
Diaz-Arrastia C, Jurnalov C, Gomez G et al (2002) Laparoscopic hysterectomy using a computer-enhanced surgical robot. Surg Endosc 16:1271–1273. https://doi.org/10.1007/s00464-002-8523-5. (Epub 2002 Jun 27)
Clavien PA, Barkun J, de Oliveira MLD et al (2009) The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 250:187–196. https://doi.org/10.1097/SLA.0b013e3181b13ca2
Intuitive Surgical Inc. https://isrg.intuitive.com/news-releases/news-release-details/intuitive-reaches-10-million-procedures-performed-using-da-vinci?utm_medium=email&utm_source=transaction. Accessed 9 Apr 2024.
Isoyama K, Matsuura M, Hayasaka M et al (2023) Nationwide trends in and regional factors associated with minimally invasive hysterectomy for benign indications in Japan. Eur J Obstet Gynecol Reprod Biol 289:129–135. https://doi.org/10.1016/j.ejogrb.2023.08.388
Health, labour and welfare. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000177182.html. Accessed 9 Apr 2024.
Park SY, Cho EH, Jeong K et al (2023) Robotic single-port hysterectomy versus robotic multisite hysterectomy in benign gynecologic diseases: a retrospective comparison of clinical and surgical outcomes. J Obstet Gynaecol Res 49:2746–2752. https://doi.org/10.1111/jog.15778. (Epub 2023 Aug 27)
Kwak YH, Lee H, Seon K et al (2022) DaVinci SP single-port robotic surgery in gynecologic tumors: single surgeon’s initial experience with 100 cases. Yonsei Med J 63:179–186. https://doi.org/10.3349/ymj.2022.63.2.179
Panico G, Mastrovito S, Campagna G et al (2023) Robotic docking time with the Hugo RAS system in gynecologic surgery: a procedure independent learning curve using the cumulative summation analysis (CUSUM). J Robot Surg 17:2547–2554. https://doi.org/10.1007/s11701-023-01693-w
Gioe A, Monterossi G, Alletti SG et al (2024) The new robotic system HUGO RAS for gynecologic surgery: first european experience from Gemelli hospital. Int J Gynaecol Obstet. https://doi.org/10.1002/ijgo.15396
Monterossi G, Anchora LP, Oliva R et al (2023) The new surgical robot Hugo RAS for total hysterectomy: a pilot study. Facts views Vis Obgyn 15:331–337. https://doi.org/10.52054/FVVO.15.4.11
Komatsu H, Wada I, Harada T et al (2024) First report of robotic-assisted total hysterectomy using the Hugo RAS system. Update Surg 76:315–318. https://doi.org/10.1007/s13304-023-01710-5
Togami S, Higashi T, Tokudome A et al (2023) The first report of surgery for gynecological diseases using the hinotori surgical robot system. Jpn J Clin Oncol 53:1034–1037. https://doi.org/10.1093/jjco/hyad105
Acknowledgements
We are grateful to the staff of Sapporo Medical University Hospital operating room for their support.
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All authors contributed to the study conception and design of this study. Material preparation, data collection, and analysis were performed by Motoki Matsuura, Sachiko Nagao, Shoko Kurokawa, Masato Tamate, Taishi Akimoto, and Tsuyoshi Saito. The first draft of the manuscript was written by Motoki Matsuura, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Institutional Review Board of Sapporo Medical University (No 352–224).
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Since patient data was collected anonymously, informed consent for this retrospective study was waived in accordance with the Institutional Review Board policy of Sapporo Medical University.
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Matsuura, M., Nagao, S., Kurokawa, S. et al. Early outcomes of three new robotic surgical systems in patients undergoing hysterectomy. Updates Surg (2024). https://doi.org/10.1007/s13304-024-01891-7
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DOI: https://doi.org/10.1007/s13304-024-01891-7