{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:10:07Z","timestamp":1786979407014,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T00:00:00Z","timestamp":1750464000000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100017981","name":"Sysmex Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017981","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We investigated the clinical and economic outcomes of robot\u2010assisted radical prostatectomy (RARP) using the hinotori surgical system (H\u2010RARP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The analysis was conducted on 76 and 68 patients who underwent RARP using the da Vinci surgical system (D\u2010RARP) and H\u2010RARP, respectively. Safety, oncological, and functional outcomes were compared between H\u2010RARP and D\u2010RARP. Risk factors influencing medical costs in RARP were identified via linear regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Except for longer operative time in H\u2010RARP, clinical outcomes were comparable. The median medical costs per case were $12,426.8 for D\u2010RARP and $12,548.9 for H\u2010RARP. Operative time (coefficient: 0.0002, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001), pathological T stage (coefficient: 0.023, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.030), and postoperative hospital stay (coefficient: 0.028, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) were significant factors affecting medical costs; in contrast, the type of robot\u2010assisted surgical system was not a significant factor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>H\u2010RARP offers clinical outcomes comparable to those of D\u2010RARP while maintaining equivalent medical costs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.70084","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T07:24:27Z","timestamp":1751009067000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Clinical and Economic Assessment of Robot\u2010Assisted Radical Prostatectomy With the Hinotori Surgical System: Insights From a Japanese Single\u2010Centre Study"],"prefix":"10.1002","volume":"21","author":[{"given":"Kotaro","family":"Obayashi","sequence":"first","affiliation":[{"name":"Department of Urology Nippon Medical School  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2671-7064","authenticated-orcid":false,"given":"Jun","family":"Akatsuka","sequence":"additional","affiliation":[{"name":"Department of Urology Nippon Medical School  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Nishino","sequence":"additional","affiliation":[{"name":"Department of Health Care Administration Nippon Medical School  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mami","family":"Takadate","sequence":"additional","affiliation":[{"name":"Department of Urology Nippon Medical School  Tokyo Japan"},{"name":"Pathology Informatics Team RIKEN Center 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