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Most reported outcomes come from centers with prior Da Vinci experience, with limited data from robotic-na\u00efve settings or comparisons based on prior robotic expertise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare outcomes of Hugo RAS robot-assisted radical prostatectomy (RARP) performed by Da Vinci-experienced (DVE) versus non-Da Vinci-experienced (NDVE) surgeons. Design, Setting, and Participants: Prospective data from patients undergoing Hugo-RARP (July 2022\u2013November 2024) were analyzed. Patients were grouped based on whether their surgeon had prior Da Vinci experience. None had prior Hugo-RAS experience. Outcome Measurements and Statistical Analysis: Primary outcomes were positive surgical margin (PSM) and complication rates. Secondary outcomes included operative time (OT), estimated blood loss (EBL), length of stay (LOS), continence, and potency. Propensity score matching adjusted for baseline differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and limitations<\/jats:title>\n                    <jats:p>\n                      After matching, 117 patients per group were analyzed. PSM rates (17% vs. 21%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.40) and complications (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.63) were similar. DVE surgeons had shorter OT (179 vs. 206\u00a0min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and lower EBL (127 vs. 161\u00a0ml;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008). LOS did not differ (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.84), and 12-month functional and oncological outcomes were comparable. Limitations include the non-randomized, single-center design.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hugo RAS enables safe and effective RARP with comparable outcomes regardless of prior robotic experience. Prior Da Vinci experience, however, improves intraoperative efficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00345-025-05608-2","type":"journal-article","created":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T06:53:17Z","timestamp":1745131997000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Impact of prior robotic surgical expertise on the results of Hugo RAS radical prostatectomy: a propensity score-matched comparison between Da Vinci-expert and non-Da Vinci-expert surgeons"],"prefix":"10.1007","volume":"43","author":[{"given":"Filippo","family":"Gavi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Chiara","family":"Sighinolfi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"Fettucciari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Carerj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Marino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Panio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Russo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazario","family":"Foschi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Bientinesi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Gandi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Palermo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Totaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"Sacco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernardo","family":"Rocco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,20]]},"reference":[{"issue":"1","key":"5608_CR1","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1007\/s11701-024-01930-w","volume":"18","author":"MC Sighinolfi","year":"2024","unstructured":"Sighinolfi MC, Messina LA, Stocco M et al (2024) Cost analysis of new robotic competitors: a comparison of direct costs for initial hospital stay between Da Vinci and Hugo RAS for radical prostatectomy. 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