Skills transfer from the DaVinci® system to the Hugo™ RAS system
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Skills transfer from the DaVinci® system to the Hugo™ RAS system. / Olsen, Rikke Groth; Karas, Vladimir; Bjerrum, Flemming; Konge, Lars; Stroomberg, Hein Vincent; Dagnæs-Hansen, Julia Abildgaard; Røder, Andreas.
I: International Urology and Nephrology, Bind 56, 2024, s. 389–397.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Skills transfer from the DaVinci® system to the Hugo™ RAS system
AU - Olsen, Rikke Groth
AU - Karas, Vladimir
AU - Bjerrum, Flemming
AU - Konge, Lars
AU - Stroomberg, Hein Vincent
AU - Dagnæs-Hansen, Julia Abildgaard
AU - Røder, Andreas
N1 - Publisher Copyright: © 2023, The Author(s).
PY - 2024
Y1 - 2024
N2 - 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.
AB - 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.
KW - Hugo™ RAS
KW - IDEAL framework
KW - Learning curve
KW - Prostate cancer
KW - Robot-assisted radical prostatectomies
KW - Urology
U2 - 10.1007/s11255-023-03807-7
DO - 10.1007/s11255-023-03807-7
M3 - Journal article
C2 - 37773578
AN - SCOPUS:85172899536
VL - 56
SP - 389
EP - 397
JO - International Urology and Nephrology
JF - International Urology and Nephrology
SN - 0301-1623
ER -
ID: 370270908