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June 17, 2026Asian Journal of Endoscopic SurgeryOpen Access

Comparison of Surgical Outcomes Between the Hinotori and da Vinci Platforms in Robot‐Assisted Radical Prostatectomy: A Propensity Score‐Matched Study

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Authors

MNMasanari NishidaAWAkinori WadaTYTetsuya Yoshida

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Overview

Propensity score-matched study comparing surgical outcomes in robotic prostatectomy platforms, suggesting no significant differences in key metrics.

Key Points

  • This study aims to compare surgical outcomes between the hinotori and da Vinci robotic systems during radical prostatectomy.
  • Reviewed outcomes of 437 patients who underwent robot-assisted radical prostatectomy from 2013 to 2025.
  • Performed propensity score matching, analyzing 130 patients in the da Vinci group and 65 in the hinotori group.
  • Compared perioperative outcomes, positive surgical margin rates, urinary continence recovery, and biochemical recurrence-free survival.
  • Hinotori group had longer operative, console, and setup-related times; estimated blood loss was greater but no transfusions were needed.
  • No differences in overall or stage-specific positive surgical margin rates were noted between both groups.
  • 12-month urinary continence recovery rates were 87% for hinotori and 85% for da Vinci; 2-year BCR-free survival rates were 94% vs. 89% at 1 year and 89% vs. 85% at 2 years.

Cite This Study

Nishida et al. (2026) studied this question.

synapsesocial.com/papers/6a323e06d50b63ecad207613https://doi.org/10.1111/ases.70326
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