{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:39:23Z","timestamp":1777030763915,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"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":["Int J of Urology"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Hinotori Surgical Robot System is the first domestically developed robotic platform approved in Japan and is increasingly used for robot\u2010assisted radical prostatectomy (RARP). However, nationwide real\u2010world data remain limited. This study evaluated perioperative, oncological, and functional outcomes of Hinotori\u2010assisted RARP to establish pragmatic benchmark data during its diffusion phase.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multicenter retrospective study included consecutive patients who underwent Hinotori\u2010assisted RARP at 24 institutions in Japan, each performing at least 20 procedures between April 2023 and March 2024. Perioperative outcomes, Clavien\u2013Dindo\u2013graded complications, biochemical recurrence\u2013free rates, and urinary continence at 3 and 6\u2009months were assessed descriptively. Exploratory analyses stratified by surgical experience evaluated learning effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 962 patients were analyzed. Median operative time was 260\u2009min (IQR, 214\u2013312), console time 193\u2009min (IQR, 153\u2013237), and estimated blood loss 150\u2009mL (IQR, 50\u2013300). Complications occurred in 11.3% of patients, mostly low grade, with no grade V events. The 6\u2010month biochemical recurrence\u2013free rate was 94.5% (95% CI, 92.8%\u201395.8%). Urinary continence was achieved in 57.7% and 76.4% at 3 and 6\u2009months, respectively. Operative and console times decreased with experience, while blood loss and positive margin rates were similar across strata.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hinotori\u2010assisted RARP showed acceptable safety and progressive functional recovery, with preliminary early oncological outcomes. These nationwide data support its safe implementation in routine clinical practice in Japan.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70460","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T10:19:07Z","timestamp":1776075547000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nationwide Real\u2010World Outcomes of Robot\u2010Assisted Radical Prostatectomy Using the\n                    <scp>Hinotori<\/scp>\n                    Surgical Robot System in Japan"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4524-2815","authenticated-orcid":false,"given":"Takuto","family":"Hara","sequence":"first","affiliation":[{"name":"Department of Urology Kobe University Graduate School of Medicine  Kobe 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