Evidence map›Paper›PMID 40172599›Full record

Trial reportWorld journal of urology2025

Robot-assisted partial nephrectomy and robot-assisted radical prostatectomy using the Chinese surgical systems KangDuo-SR-2000 and EDGE MP1000 versus the Da Vinci Xi system: a prospective, single-center, non-randomized clinical trial.

Pengyu Guo, Honglei Wang, Zixing Wang, Tao Xu, Jianzhang Li, Yangyang Xu, Dexin Ding, Changfu Li, Lichen Teng, Hui Chen and 7 more

Abstract readComparative StudyClinical Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Article
  9. KangDuoTranslational andrology and urology · 2026
    Article
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  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Pengyu Guo *Department of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Honglei Wang *Department of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Zixing Wang *Department of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Tao XuDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Jianzhang LiDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Yangyang XuDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Dexin DingDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Changfu LiDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Lichen TengDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Hui ChenDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Yongsheng ChenDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Zhongjie QiaoDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Muyang CaoDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Chen DuDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Hongwei LiDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Ziqi WangDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China. wangziqi@hrbmu.edu.cn.
Wanhai XuDepartment of Urology, Harbin Medical University Cancer Hospital, Harbin, 150081, China. xuwanhai@hrbmu.edu.cn.

Funding

Basic Research Business Expenses for Provincial Universities in Heilongjiang Province in 2024 31031240060Key Research and Development Program of Heilongjiang Province GY2023ZB0078Medical Innovation Technology Fund of Harbin Medical University Cancer Hospital CSJSGC-2023-08
6 · The paper itself

Abstract

purposeThis study aims to compare the safety and efficacy of robot-assisted partial nephrectomy (RAPN) and robot-assisted radical prostatectomy (RARP) using the Chinese surgical systems KangDuo-SR-2000 (KD-SR-2000) and EDGE MP1000 (MP1000) versus the Da Vinci Xi (DV-Xi) system, to explore viable alternative options to DV-Xi.

methodsThis prospective, single-center, non-randomized clinical trial enrolled 261 patients who underwent RAPN or RARP from August 2023 to June 2024. All surgeries were performed by 3 surgeons. For RAPN, the primary outcome included surgical success, positive surgical margin (PSM), warm ischemia time (WIT) and conversion to open or laparoscopic surgery. The secondary outcome was estimated glomerular filtration rate (eGFR). For RARP, the primary outcome was surgical success without conversion to open or laparoscopic surgery, and the secondary outcomes included PSM and urinary continence recovery at 4 weeks post-catheter removal.

resultsBaseline demographics were comparable across the KD-SR-2000 group (n = 88), EDGE MP1000 group (n = 59) and DV-Xi group (n = 114). No significant differences observed in primary and secondary outcomes. However, operation time and suture time per stitch were longer in Chinese surgical systems for both RAPN and RARP compared to DV-Xi, and estimated blood loss (EBL) is higher in RAPN. Subgroup analyses indicated that performance differences were primarily attributed to the KD-SR-2000, with no significant differences observed between the MP1000 and DV-Xi. No severe complications (Clavien-Dindo grade ≥ 3) reported in any group.

conclusionsChinese surgical systems provide a viable alternative, demonstrating non-inferiority compared to DV-Xi. TRIAL REGISTRATION NUMBER: ChiCTR2300074914; Registration Date: 2023-08-21.

Indexed as

NephrectomyProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresAgedHumansMaleMiddle AgedProspective StudiesTreatment OutcomeKidney neoplasmsProstatic neoplasmsRoboticsRobotic surgical procedures

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.