Objective: In a previous study, we proved that an experienced urologist is more likely to adapt to the Hugo RAS system. Based on this, we further examine various parameters in this study. Parameters included in this study consisted of console time, functional outcomes, and oncological outcomes. Materials and Methods: A total of 60 patients who underwent robot-assisted radical prostatectomy (RARP) performed by a single surgeon using the da Vinci (DV) system (n = 30) or the Hugo RAS system (n = 30) between March 2023 and August 2023 were included in the analysis. The intraoperative operative time was categorized into vesicourethral anastomosis time and overall console time. Functional and oncological outcomes were documented at the 1st and 3rd postoperative months. Parametric and non-parametric methods were adopted after checking skewness and kurtosis, and an α value of 5% was used to determine the significance. Results: The vesicourethral anastomosis time was significantly lengthened (Hedge’s g: 0.87; 95% confidence interval (CI): 0.34–1.39; J factor = 0.987). However, the overall console time was not affected. The functional (postoperative 3rd month:p= 0.130) and oncological outcomes (postoperative 3rd month:p= 0.103) were not significantly different. We also found that the adverse effect on surgical specimens and positive surgical margins was not affected (p= 0.552). Conclusion: During the process of adaptation, although intricate motions (such as the vesicourethral anastomosis time) would be lengthened, the overall console time would not change remarkably. In this process, the functional and oncological outcomes would not be compromised. This encourages urologists to adopt the Hugo RAS system in RARP if they have previous experiences of using the DV system, since their trifecta advantage would not be compromised.
目的：在前期研究中，我们证实经验丰富的泌尿外科医师更易适应Hugo RAS系统。基于此，本研究进一步考察各项参数。纳入参数包括控制台操作时间、功能学结果及肿瘤学结果。材料与方法：本研究共纳入2023年3月至8月期间由同一位外科医师使用达芬奇（DV）系统（n=30）或Hugo RAS系统（n=30）实施的60例机器人辅助根治性前列腺切除术（RARP）患者。术中操作时间细分为膀胱尿道吻合时间与总控制台操作时间。功能学与肿瘤学结果记录于术后第1个月及第3个月。经偏度和峰度检验后采用参数与非参数方法，以5%的α值判定显著性。结果：膀胱尿道吻合时间显著延长（Hedge's g：0.87；95%置信区间（CI）：0.34-1.39；J因子=0.987），但总控制台操作时间未受影响。功能学结果（术后第3个月：p=0.130）与肿瘤学结果（术后第3个月：p=0.103）均无显著差异。研究还发现手术标本质量与阳性切缘率未受影响（p=0.552）。结论：在适应过程中，虽然精细操作（如膀胱尿道吻合时间）会延长，但总控制台操作时间不会发生显著变化。在此过程中，功能学与肿瘤学结果均不受影响。这提示具有DV系统使用经验的泌尿外科医师在开展RARP时可积极采用Hugo RAS系统，因其在功能保全、肿瘤控制与围术期效果方面的综合优势不会受损。
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