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Innovations in Urologic Robotic Surgery: The Future Is Now
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Innovations in Urologic Robotic Surgery: The Future Is Now

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Nephrology & Urology".

Deadline for manuscript submissions: 20 August 2024 | Viewed by 532

Special Issue Editors

Prof. Dr. Emilio Sacco

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Guest Editor
Urology Department, Ospedale Isola Tiberina, Gemelli Isola, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Interests: urologic surgery; robotic surgery; reconstructive surgery; pelvic floor dysfunctions; urinary incontinence; bladder cancer; prostate cancer; urinary tract infections; kidney cancer
Special Issues, Collections and Topics in MDPI journals
Dr. Carlo Gandi

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Guest Editor
Department of Urology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Interests: urology; robotic surgery; prostate cancer; kidney cancer; bladder cancer; urinary incontinence; endourology; urinary stones

Special Issue Information

Dear Colleagues,

Robot-assisted surgery has been evolving rapidly, with advancements in technologies such as improved robotic arms, enhanced visualization and haptic feedback systems. These developments aim to make procedures more precise, minimally invasive and safer for patients. Additionally, artificial intelligence and machine learning are increasingly being integrated into robotic surgery systems to assist surgeons in decision-making and improve outcomes. Robotic surgery has seen significant growth and acceptance over the past decade, especially for the treatment of urologic diseases. Procedures such as prostatectomies, nephrectomies, cystectomies and pyeloplasties are commonly performed using robotic systems. These systems offer advantages such as improved dexterity, visualization and precision, leading to reduced blood loss, shorter hospital stays and quicker recovery times for patients. Ongoing research aims to further refine these techniques and expand the scope of robotic urologic surgeries. Moreover, the emerging of innovative robotic platforms is spreading the use of this technology throughout the world and has made competition between these systems possible.

These new robots focus on improving dexterity, flexibility and cost-effectiveness while maintaining patient safety and outcomes. However, the body of evidence on these new systems remains immature.

This Special Issue aims to collect high-quality contributions on the latest and most innovative advances in clinical applications of robotic surgery in the urological field. All researchers are invited to contribute original works and reviews (animal research, case reports and short reviews are not accepted).

Prof. Dr. Emilio Sacco
Dr. Carlo Gandi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • urology
  • robotic surgery
  • robotic system
  • robotic prostatectomy
  • robotic nephrectomy
  • robotic cystectomy
  • robotic reconstructive surgery
  • robotic surgical training

Published Papers (1 paper)

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18 pages, 3537 KiB  
Systematic Review
Robot-Assisted Radical Prostatectomy Performed with the Novel Hugo™ RAS System: A Systematic Review and Pooled Analysis of Surgical, Oncological, and Functional Outcomes
by Filippo Marino, Stefano Moretto, Francesco Rossi, Carlo Gandi, Filippo Gavi, Riccardo Bientinesi, Marco Campetella, Pierluigi Russo, Francesco Pio Bizzarri, Eros Scarciglia, Mauro Ragonese, Nazario Foschi, Angelo Totaro, Nicolò Lentini, Roberta Pastorino and Emilio Sacco
J. Clin. Med. 2024, 13(9), 2551; https://doi.org/10.3390/jcm13092551 - 26 Apr 2024
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Abstract
Background/Objectives: to assess surgical, oncological, and functional outcomes of robot-assisted radical prostatectomy (RARP) performed using the novel Hugo™ RAS system. Methods: A systematic review was conducted following the PRISMA guidelines, using PubMed, Web of Science, Scopus, and Embase databases. Eligible papers [...] Read more.
Background/Objectives: to assess surgical, oncological, and functional outcomes of robot-assisted radical prostatectomy (RARP) performed using the novel Hugo™ RAS system. Methods: A systematic review was conducted following the PRISMA guidelines, using PubMed, Web of Science, Scopus, and Embase databases. Eligible papers included studies involving adult males undergoing RARP with the Hugo™ RAS platform, with at least ten patients analyzed. The pooled analysis was performed using a random-effect model. Results: Quantitative analysis was conducted on 12 studies including 579 patients. The pooled median docking time, console time, and operative time were 11 min (95% CI 7.95–14.50; I2 = 98.4%, ten studies), 142 min (95% CI 119.74–164.68; I2 = 96.5%, seven studies), and 176 min (95% CI 148.33–203.76; I2 = 96.3%, seven studies), respectively. The pooled median estimated blood loss was 223 mL (95% CI 166.75–280.17; I2 = 96.5%, eleven studies). The pooled median length of hospital stay and time to catheter removal were 2.8 days (95% CI 1.67–3.89; I2 = 100%, ten studies) and 8.3 days (95% CI 5.53–11.09; I2 = 100%, eight studies), respectively. The pooled rate of postoperative CD ≥ 2 complications was 4.1% (95% CI 1–8.5; I2 = 63.6%, eleven studies). The pooled rate of positive surgical margins and undetectable postoperative PSA were 20% (95% CI 12.6–28.5; I2 = 71.5%, nine studies) and 94.2% (95% CI 87.7–98.6; I2 = 48.9%, three studies), respectively. At three months, a pooled rate of social continence of 81.9% (95% CI 73.8–88.9; I2 = 66.7%, seven studies) was found. Erectile function at six months was 31% in one study. Conclusions: despite the preliminary nature of the evidence, this systematic review and pooled analysis underscores the feasibility, safety, and reproducibility of the Hugo™ RAS system in the context of RARP. Full article
(This article belongs to the Special Issue Innovations in Urologic Robotic Surgery: The Future Is Now)
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