Review article

https://doi.org/10.21860/medflum2025_336642

Application of Robotic Surgery in Urology

Luka Penezić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska *
Tvrtko Hudolin ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Nikola Knežević ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Tomislav Kuliš ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Toni Zekulić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Ilija Jurić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Hrvoje Saić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Jerko Anđelić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Tomislav Sambolić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Domagoj Šarić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Dominic Vidović ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Ivan Kuran ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Luka Žurić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Adam Rožmarić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Bojan Čikić ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Željko Kaštelan ; Klinika za urologiju, Klinički bolnički centar Zagreb, Zagreb, Hrvatska

* Corresponding author.

Abstract

Robotic surgery has become an integral part of modern urology over the past two decades. Urology was among the first specialties to adopt minimally invasive techniques,with robotics further enhancing safety and precision. Following pioneering laparoscopic procedures, the first robot-assisted radical prostatectomy marked the start of a new era.The Da Vinci system remained the sole commercially available platform for many years,becoming the gold standard for prostatectomy, partial nephrectomy, and cystectomy. The introduction of alternative systems such as Hugo, Versius, Senhance, Hinotori, and Revo-ihas expanded the market and fostered competition. Robotic technology is also increasingly applied in less common but technically demanding procedures, including adrenalectomy, retroperitoneal lymph node dissection, and kidney transplantation. The Croatian robotic surgery program in urology began in 2019 at University Hospital Centre Zagreb with the Senhance system. Today, procedures are also performed using Da Vinci and Hugo platforms in two other centres. Published experiences confirm feasibility and safety, with outcomes comparable to other minimally invasive techniques. Robotic surgery in urology is evolving rapidly. Future developments will include artificial intelligence and digital integration, but robots will remain advanced tools that complement, rather than replace, surgical expertise.

Keywords

minimally invasive surgery; robotic surgery; urology

Hrčak ID:

336642

URI

https://hrcak.srce.hr/336642

Publication date:

1.12.2025.

Article data in other languages: croatian

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