{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:18:42Z","timestamp":1791811122444,"version":"4.3.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report the first multicentric comparison between Hugo\u2122 robot-assisted surgery\/system (RAS) and Da Vinci\u00ae Xi for robot-assisted partial nephrectomy (RAPN).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between October 2022 and March 2024, a total of 258 patients underwent off-clamp RAPN (Hugo RAS = 52 patients, and Da Vinci = 206 patients). Da Vinci and Hugo cases were matched in a 1:1 ratio using propensity score matching (PSM), adjusting for the Radius Exophytic Nearness Anterior Location score and renorrhaphy technique. Trifecta was defined as the coexistence of negative surgical margin status, no Clavien\u2013Dindo grade \u2265 3 complications, and \u2264 30% estimated glomerular filtration rate (eGFR) reduction at discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After 1:1 PSM, two comparable populations of 52 patients each were selected. No intraoperative blood transfusion occurred in any group. The Hugo cohort displayed a higher rate of postoperative transfusions (7.7%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      0%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.04). Nevertheless, perioperative complications were comparable (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.32). The median length of stay (LOS) was shorter in the Da Vinci group (2 days\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      3 days,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), as for median eGFR at discharge (74.5 mL\/min\/1.73m\n                      <jats:sup>2<\/jats:sup>\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      87.3 mL\/min\/1.73m\n                      <jats:sup>2<\/jats:sup>\n                      ,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.03). No significant difference in positive surgical margins was shown between the two groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.08). Finally, a comparable Trifecta rate was achieved for both platforms (88.5% in the Hugo RAS group and 90.4% in the Da Vinci group,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.75).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite the hierarchical role of Da Vinci in the robotic surgical landscape, RAPN can be safely carried out with the new Hugo RAS System, with satisfactory perioperative surgical outcomes comparable to the Da Vinci Xi System.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790251412815","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T11:13:04Z","timestamp":1768389184000},"page":"181-187","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Hugo\n                    <sup>TM<\/sup>\n                    RAS\n                    <i>vs<\/i>\n                    Da Vinci\u00ae Xi Robot-Assisted Partial Nephrectomy: First Propensity Score-Matched Comparison of Perioperative and Functional Outcomes"],"prefix":"10.1177","volume":"40","author":[{"given":"Francesco","family":"Prata","sequence":"first","affiliation":[{"name":"Department of Urology, Fondazione Policlinico Universitario Campus Bio-Medico, Roma, Italy."},{"name":"Department of Medicine and Surgery, Research Unit of Urology, Universit\u00e0 Campus Bio-Medico di Roma, Roma, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Mastroianni","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Simone","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Tedesco","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, Research Unit of Urology, Universit\u00e0 Campus Bio-Medico di Roma, Roma, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umberto","family":"Anceschi","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Ragusa","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, Research Unit of Urology, Universit\u00e0 Campus Bio-Medico di Roma, Roma, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Civitella","sequence":"additional","affiliation":[{"name":"Department of Urology, Fondazione Policlinico Universitario Campus Bio-Medico, Roma, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Brassetti","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo Maria","family":"Bove","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Iannuzzi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, Research Unit of Urology, Universit\u00e0 Campus Bio-Medico di Roma, Roma, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Travino","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, Research Unit of Urology, Universit\u00e0 Campus Bio-Medico di Roma, Roma, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"De Giuseppe","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, Research Unit of Urology, Universit\u00e0 Campus Bio-Medico di Roma, Roma, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Fantozzi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, Research Unit of Urology, Universit\u00e0 Campus Bio-Medico di Roma, Roma, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariavittoria","family":"Vescovo","sequence":"additional","affiliation":[{"name":"Operative Research Unit of Anatomical Pathology, Fondazione Policlinico Universitario Campus Bio-Medico, Roma, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"D\u2019Annunzio","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariaconsiglia","family":"Ferriero","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rocco Simone","family":"Flammia","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Guaglianone","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Misuraca","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavia","family":"Proietti","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Tuderti","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Costantino","family":"Leonardo","sequence":"additional","affiliation":[{"name":"Uro-Oncology Program, IRCCS \u201cRegina Elena\u201d National Cancer Institute, Rome, 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