Clash of the Titans: the first multi-center retrospective comparative study between da Vinci and Hugo™ RAS surgical systems for the treatment of deep endometriosis

Manuel Maria Ianieri, Ianieri MM, Raimondo D, Diego Raimondo, Matteo Pavone, Carlo Alboni, Alboni C, Alesi MV, Maria Vittoria Alesi, Federica Campolo, Campolo F, Antonio Raffone, Raffone A, Pierluigi Celerino, Celerino P, Benedetta Orsini, Orsini B, Carcagnì A, Antonella Carcagnì, Francesco Fanfani, Fanfani F, Renato Seracchioli, Seracchioli R, Giovanni Scambia, Scambia G
Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy · 2024 · vol. 33(6) , pp. 341–350 · doi:10.1080/13645706.2024.2417403 · PMID:39485905 · W4403975914
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This retrospective study compared da Vinci and Hugo robotic systems for deep endometriosis, finding comparable intraoperative outcomes but a higher incidence of postoperative complications with da Vinci, alongside improved dyspareunia, urinary, and gastrointestinal function.

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Abstract

BACKGROUND: The proliferation of several robotic platforms presents an opportunity to pinpoint the most suitable system for specific procedures and patient profiles. This study aims to explore differences in complications and functional outcomes among patients undergoing deep endometriosis excision with the da Vinci surgical system compared to the Hugo™ RAS system. METHOD: This is a retrospective, multicenter cohort study. Patients were categorized based on the surgical system used: the Da Vinci system and the Hugo™ RAS system. Perioperative complications, functional outcomes (via validated questionnaire: BFLUTS, KESS, GIQLI), and pain symptoms both before and after surgery were compared between the two groups. RESULTS: A total of six postoperative complications were reported: four in the Da Vinci system group (20%) and two in the Hugo™ RAS system group (12.5%). No difference in the mean operative time (p = 0.647), median estimated blood loss (p = 0.179), and hospital stay (p < 0.0001) was found between the two groups. A significant difference was reported in questionnaire score changes and dyspareunia severity in the da Vinci system arm. CONCLUSIONS: Both robotic systems offer comparable performances in terms of intraoperative complications, although there was a higher incidence of postoperative complications in patients who underwent surgery with the Da Vinci system. Moreover, there was an improvement in dyspareunia, urinary, and gastrointestinal function in the same group.

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Condition tags

endometriosisdyspareunia

MeSH descriptors

Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis Endometriosis

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (46)

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