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<p>Robotic systems record intraoperative telemetry, but its clinical utility is unclear. Associations between robot telemetry and postoperative length of stay (LOS) and hemoglobin drop (ΔHb) after robotic urologic surgery were evaluated in a retrospective analysis of consecutive single-surgeon robot-assisted procedures performed between 2 April 2024 and 22 December 2025. Telemetry metrics (instrument count, console time, instruments-active time) were linked to perioperative data and laboratory values. Associations were tested with Spearman correlations and multivariable regression for log-LOS adjusting for age, BMI, preoperative hemoglobin, creatinine, and procedure stratum; key analyses were repeated within radical prostatectomy and partial nephrectomy cohorts. The cohort comprised 100 procedures (median LOS 3&#xa0;days (interquartile range [IQR] 3–4)). Instrument count correlated with LOS overall (ρ = 0.33, p = 0.00084) and within prostatectomy cases (ρ = 0.43, p = 0.0038). In the adjusted model (n = 68), each additional instrument was associated with longer LOS (β = 0.28; 95% confidence interval (CI) 0.09–0.47; exp[β] = 1.32). ΔHb was available in 70 cases (0.93 ± 0.62&#xa0;mmol/L) and correlated weakly with console and instruments-active time (ρ = 0.26–0.27; p ≤ 0.03). Procedure type strongly influenced LOS; nevertheless, instrument count remained associated with LOS after adjustment, with the strongest signal in radical prostatectomy. Telemetry may provide an objective marker of intraoperative complexity and postoperative recovery, but procedure-specific validation is needed.</p>

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Intraoperative robot telemetry and postoperative outcomes in robotic urologic surgery: a single-surgeon retrospective cohort study

  • 期刊论文

  • 发表日期：

    2026年2月11日

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  • Rafał Bogdan Drobot

摘要

Robotic systems record intraoperative telemetry, but its clinical utility is unclear. Associations between robot telemetry and postoperative length of stay (LOS) and hemoglobin drop (ΔHb) after robotic urologic surgery were evaluated in a retrospective analysis of consecutive single-surgeon robot-assisted procedures performed between 2 April 2024 and 22 December 2025. Telemetry metrics (instrument count, console time, instruments-active time) were linked to perioperative data and laboratory values. Associations were tested with Spearman correlations and multivariable regression for log-LOS adjusting for age, BMI, preoperative hemoglobin, creatinine, and procedure stratum; key analyses were repeated within radical prostatectomy and partial nephrectomy cohorts. The cohort comprised 100 procedures (median LOS 3 days (interquartile range [IQR] 3–4)). Instrument count correlated with LOS overall (ρ = 0.33, p = 0.00084) and within prostatectomy cases (ρ = 0.43, p = 0.0038). In the adjusted model (n = 68), each additional instrument was associated with longer LOS (β = 0.28; 95% confidence interval (CI) 0.09–0.47; exp[β] = 1.32). ΔHb was available in 70 cases (0.93 ± 0.62 mmol/L) and correlated weakly with console and instruments-active time (ρ = 0.26–0.27; p ≤ 0.03). Procedure type strongly influenced LOS; nevertheless, instrument count remained associated with LOS after adjustment, with the strongest signal in radical prostatectomy. Telemetry may provide an objective marker of intraoperative complexity and postoperative recovery, but procedure-specific validation is needed.