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Robotic Urological Surgery: Clinical Updates for Better Outcomes
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Robotic Urological Surgery: Clinical Updates for Better Outcomes

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

Deadline for manuscript submissions: 30 August 2025 | Viewed by 1204

Special Issue Editor

Prof. Dr. Shigeo Horie

E-Mail Website
Guest Editor
Graduate School of Medicine, Department of Urology, Juntendo University, Tokyo, Japan
Interests: prostate cancer; robotic surgery; genetics; digital therapeutics; testosterone
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue aims to gather cutting-edge research and clinical experiences that highlight the advancements and benefits of robotic surgery in urology. We invite investigators and surgeons from academic institutions and clinical hospitals to contribute high-quality articles that will advance the field and improve patient care.

The scope of the Special Issue encompasses the following:

  • Technological Advances: Articles exploring the latest innovations in robotic systems and their applications in urological surgery.
  • Clinical Outcomes: Research studies and clinical trials assessing the efficacy, safety, and long-term outcomes of robotic urological procedures.
  • Surgical Techniques: Detailed descriptions and evaluations of novel surgical techniques and approaches in robotic urology.
  • Surgical Simulation and Navigation: Studies and reviews on the use of surgical simulation and navigation systems to enhance the precision and effectiveness of robotic urological procedures.
  • Patient Perspectives: Studies focusing on patient-reported outcomes, satisfaction and quality of life following robotic urological surgery.
  • Future Directions: Visionary articles and reviews predicting the future trends and potential developments in robotic urological surgery.

This Special Issue will serve as a comprehensive resource for clinicians and researchers, aiming to improve surgical outcomes and patient care in urology through the use of robotic technology. We encourage submissions that provide robust evidence, innovative perspectives and practical insights into the field of robotic urological surgery.

Prof. Dr. Shigeo Horie
Guest Editor

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

  • robotic urological surgery
  • clinical outcomes
  • surgical techniques
  • surgical navigation
  • patient-reported outcomes
  • side effects
  • incident

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Published Papers (2 papers)

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Research

10 pages, 825 KiB  
Article
Comparison of Perioperative Outcomes for Complex Renal Tumors Between the Da Vinci and Hinotori Surgical Robot System During Robot-Assisted Partial Nephrectomy: A Propensity Score Matching Analysis
by Daisuke Motoyama, Kyohei Watanabe, Yuto Matsushita, Hiromitsu Watanabe, Keita Tamura, Hideaki Miyake and Teruo Inamoto
J. Clin. Med. 2025, 14(16), 5850; https://doi.org/10.3390/jcm14165850 - 19 Aug 2025
Abstract
Background/Objectives: This study aimed to evaluate and compare the perioperative outcomes of robot-assisted partial nephrectomy (RAPN) for complex renal tumors performed using the novel Japanese Hinotori Surgical Robot System (HSRS) and the established Da Vinci Surgical System (DVSS). Methods: Of 484 [...] Read more.
Background/Objectives: This study aimed to evaluate and compare the perioperative outcomes of robot-assisted partial nephrectomy (RAPN) for complex renal tumors performed using the novel Japanese Hinotori Surgical Robot System (HSRS) and the established Da Vinci Surgical System (DVSS). Methods: Of 484 consecutive patients who underwent RAPN at our institution, 126 with complex renal tumors were included in the DVSS group, and 48 such patients were included in the HSRS group. Complex tumors in this series were defined by the presence of at least one of the following factors: cT1b, completely endophytic, hilar, cystic, or ipsilateral multiple tumors. Results: Following 1:2 propensity score matching, 74 and 37 patients were included in the DVSS and HSRS groups, respectively. Post-matching, most covariates’ absolute standardized mean difference (SMD) was less than 0.1, indicating effective baseline imbalance correction. All RAPN procedures using HSRS were completed without conversion to open surgery, nephrectomy, or Clavien–Dindo ≥3 postoperative complications. No significant differences in major perioperative outcomes were observed between DVSS and HSRS, including operative time (178 vs. 186 min), console time (115 vs. 115 min; encompassing cockpit time for HSRS), warm ischemia time (15 vs. 15 min), and estimated blood loss (51 vs. 30 mL). Positive surgical margin rates (DVSS 1.4% vs. HSRS 5.4%) and Trifecta achievement rates (94.6% vs. 91.9%) were also comparable, with no significant differences. Conclusions: These findings suggest that, even in patients with complex renal tumors, RAPN performed using the HSRS can achieve perioperative outcomes comparable to those obtained with the established DVSS. Full article
(This article belongs to the Special Issue Robotic Urological Surgery: Clinical Updates for Better Outcomes)
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10 pages, 688 KiB  
Article
Impact of the Enhanced Recovery After Surgery Protocol on the Perioperative Outcomes of Robot-Assisted Radical Cystectomy
by Kosuke Kitamura, Yuto Miyoshi, Takeshi Ieda, Toshiyuki China, Fumitaka Shimizu, Shigeo Horie and Satoru Muto
J. Clin. Med. 2025, 14(9), 3082; https://doi.org/10.3390/jcm14093082 - 29 Apr 2025
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Abstract
Objectives: The enhanced recovery after surgery (ERAS) protocol is a coordinated approach aimed at providing the best evidence-based perioperative care. This study examined whether combining robot-assisted radical cystectomy (RARC) with the ERAS protocol could reduce postoperative complications and hospital length of stay [...] Read more.
Objectives: The enhanced recovery after surgery (ERAS) protocol is a coordinated approach aimed at providing the best evidence-based perioperative care. This study examined whether combining robot-assisted radical cystectomy (RARC) with the ERAS protocol could reduce postoperative complications and hospital length of stay (LOS). We also assessed the impact of high and low adherence to the ERAS protocol on oncological outcomes. Methods: Eighty patients who underwent RARC with urinary diversion at Juntendo University Hospital and Juntendo University Nerima Hospital between April 2014 and December 2021 were included. The ERAS protocol consisted of 15 items, and the achievement rate for each item was assessed. We evaluated the effects of adherence on complications and hospital LOS, as well as the relationship between ERAS implementation and postoperative oncological prognoses. Results: Patients were divided into high-adherence (n = 39) and low-adherence (n = 41) groups based on adherence to 12 or more ERAS items. Patient demographics, including age, sex, and clinical stage, were statistically similar. The high-adherence group had a significantly shorter postoperative hospital LOS (19 days vs. 24 days; p = 0.013) and fewer complications (p = 0.015) compared to the low-adherence group. Furthermore, the high-adherence group exhibited a significantly improved overall survival rate (p = 0.029), while no significant difference was found in progression-free survival (p = 0.125). Conclusions: Integrating the ERAS protocol with RARC can reduce postoperative complications and hospital LOS. High adherence to the ERAS protocol is associated with improved prognoses and outcomes compared to low adherence. Full article
(This article belongs to the Special Issue Robotic Urological Surgery: Clinical Updates for Better Outcomes)
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