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Intraoperative blood loss was associated with uterine weight and robotic platform (Hugo reported lower blood loss than da Vinci X (\u2212\u200972\u00a0mL; 95%CI\u2009\u2212\u2009114,\u2009\u2212\u200929;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001); both Hugo (\u2212\u20091.1; 95%CI\u2009\u2212\u20092.1,\u2009\u2212\u20090.17;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012) and Versius (\u2212\u20091.4; 95%CI\u2009\u2212\u20092.4,\u2009\u2212\u20090.43;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) provided lower pain on postoperative day three than da Vinci X. Other perioperative outcomes (i.e., operative times and malfunctions) did not differ. Platform-related indirect costs averaged \u20ac1550.43 for da Vinci X, \u20ac1748.18 for Hugo, and \u20ac1847.47 for Versius; when consumables were added, the cost per procedure was \u20ac5048.46, \u20ac3334.18, and \u20ac2921.07, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The three robotic platforms exhibited similar performance and safety, with minor differences. The expenses related to the robotic system remain the most relevant for the procedure, with differences between robotic consumables and platform-related costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>NCT06138197<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-026-12873-8","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T13:36:34Z","timestamp":1781098594000},"page":"6687-6695","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Da Vinci\u00ae X\u2122, Versius\u00ae, and Hugo\u2122 RAS in minimally invasive robotic-assisted hysterectomy: the COMPAR-HYST prospective study"],"prefix":"10.1007","volume":"40","clinical-trial-number":[{"clinical-trial-number":"nct06138197","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Simone","family":"Garzon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Landi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Da Ros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pier Carlo","family":"Zorzato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Festi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biancamaria","family":"Del Prete","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana","family":"Galli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filippo","family":"Sartori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariachiara","family":"Bosco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentino","family":"Bergamini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Scarperi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Giacopuzzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Polati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Callisto Marco","family":"Bravi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Leardini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4456-0822","authenticated-orcid":false,"given":"Stefano","family":"Uccella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"issue":"12","key":"12873_CR1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.12.1526","volume":"291","author":"JM Torpy","year":"2004","unstructured":"Torpy JM, Lynm C, Glass RM (2004) Hysterectomy. 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