The evolution of robotic-assisted urological surgeries has been notably enhanced by the introduction of V-LOC sutures. These innovative barbed sutures eliminate the necessity for knot tying, streamlining the suturing process, reducing operative times, and improving surgical accuracy. This study evaluates the multifaceted advantages of V-LOC sutures in robotic urology, focusing on their cost-effectiveness, efficiency in reducing operating times, and their impact on the proficiency of surgeons.

A mixed-methods approach was used to analyze 50 robotic urology procedures performed over the past two years in a newly established program. A retrospective analysis was conducted on procedures including radical prostatectomy (10), partial nephrectomy (24), and ureteral reimplantation (16). Primary endpoints included operative time, cost analysis, ischemia time for nephrectomy, and the surgeon learning curve. Quantitative analysis compared operative times and costs of traditional versus V-LOC sutures, while qualitative data were collected through semi-structured interviews with surgeons regarding usability and satisfaction.

V-LOC sutures significantly reduced operative time by 20-30 minutes across all procedures. Although initially more expensive, overall procedure costs were lower due to decreased operating room time and reduced postoperative care, yielding savings of approximately $500-$1,000 per case. Surgeons achieved proficiency with V-LOC sutures 30% faster. Feedback indicated improved suturing speed and precision, enhancing the training experience. Additionally, ischemia time for partial nephrectomy cases was reduced by 10-15 minutes.

The study highlights significant advantages of V-LOC sutures across clinical, operational, and financial domains. Operatively, these sutures reduce procedure time by 20–30 minutes, enhancing operating room efficiency and allowing for higher patient throughput. Surgeons also achieved proficiency 30% faster suggesting a smoother learning curve that could accelerate training programs. In partial nephrectomies, the 10–15-minute reduction in ischemia time is particularly impactful, lowering risks of kidney damage and improving postoperative recovery.
Financially, while V-LOC sutures have a higher upfront cost, they yield net savings of $500–$1,000 per procedure. These savings stem from reduced operating room time and lower postoperative care demands, such as fewer complications or shorter hospital stays. Over time, these benefits could translate into substantial institutional savings, especially in high-volume surgical centers. Clinically, surgeons reported improved suturing precision and speed, which may enhance patient outcomes by minimizing errors like anastomotic leaks.
The findings position V-LOC sutures as a valuable tool for modern surgical practice, offering a blend of efficiency, cost-effectiveness, and enhanced training potential. Institutions should consider adopting them strategically, particularly in settings where time-sensitive or complex procedures are prioritized. Long-term monitoring of patient outcomes and cost data will further validate their role in improving surgical care

Incorporating V-LOC sutures into robotic urology procedures represents a cost-effective strategy that significantly reduces operative times while enhancing surgical efficiency. Their integration promises to elevate surgical outcomes and improve patient care, and an accelerated learning curve for surgeons marking a pivotal advancement in robotic surgery techniques.