#319 Nerve Sparing Robot-Assisted Radical Prostatectomy with HUGO RAS System… Dr. Nicola Frego

This is one of the 2023 KS International Innovation Awards videos selected for inclusion in the Vattikuti Foundation – ORSI Humans on the Cutting Edge of Robotic Surgery Conference, October 6, 7 & 8, 2023 in Ghent, Belgium. Posting does not imply that is has been selected as a Finalist, just that the content will be discussed at the Conference.

From the entry:

Nerve Sparing Robot-Assisted Radical Prostatectomy with HUGO RAS System using the “Aalst Technique” Paciotti M1 2, Bravi CA1 2, Mottaran A1 2, Nocera L1 2, Sarchi L1 2, Farinha R1 2, Piro A1 2, Pereira Lores M1 2, Balestrazzi E1 2, Piramide F1 2, Frego N1 2, De Backer P1 2, D’hondt F1 2, De Naeyer G1 2, De Groote R1 2, Mottrie A1 2 1 Department of Urology, OLV hospital, Aalst (Belgium) 2 ORSI academi, Melle (Belgium)

Introduction: The HUGO Robotic Assisted Surgery (RAS) system is emerging as innovative solution in the field of robotic surgery. Nonetheless, concerns remains about whether surgical experience can be easily translated from previous robotic system into this novel platform. In this video, we described our surgical technique (Aalst technique) for bilateral nerve-sparing (NS) Robot-Assisted Radical Prostatectomy (RARP) performed using HUGO RAS system.

Material and Method: We described step by step the bilateral NS RARP performed with HUGO RAS system. Moreover, we analysed the data from 62 consecutive patients with low-intermediate risk prostate cancer who underwent bilateral NS RARP between February and October 2022. All patients underwent either intra- or inter-fascial bilateral NS. All procedures were performed by four experienced surgeons. Patients baseline characteristics, perioperative and pathological outcomes, 1- and 3-months continence and 3-months potency rates were reported.

Results: All procedures were performed without intraoperative or technical complications. Median operative time was 150 (IQR: 130–170) min and median console time 120 (IQR: 110-150) min. Median age was 65 (IQR: 60–69) years, median pre-operative PSA was 6.5 (5.4–8.3) ng/mL, median prostate volume was 39 (IQR: 32–50) mL. Median postoperative day of removal of urethral catheter were 2 days. On final pathology, 10 (16%) patients had pT3 disease and 3 (5%) had positive surgical margins. One-months after surgery, 32/54 (59%) patients were continent, and 28/34 (82%) patients were potent at 3-months.

Conclusion: Bilateral NS RARP performed according to the Aalst technique using HUGO RAS system can guarantee optimal outcomes.

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