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Robot-Assisted Laparoscopic Radical Prostatectomy Utilizing Hugo RAS Platform: Initial Experience.

Narasimhan Ragavan1, Shivaraj Bharathkumar1, Pradeep Chirravur2

  • 1Department of Urology, Apollo Hospitals, Chennai, Tamil Nadu, India.

Journal of Endourology
|October 7, 2022
PubMed
Summary

The new Hugo RAS robotic system shows promising initial outcomes for radical prostatectomy, offering results comparable to the established DaVinci system. This suggests Hugo RAS is a safe and effective option for pelvic surgeries.

Keywords:
DaVinci robotic systemHugo RAS™radical prostatectomyrobotic surgery

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Area of Science:

  • Urology
  • Surgical Robotics
  • Oncology

Background:

  • The Hugo RAS (Robotic-Assisted Surgery) system is a novel robotic platform recently introduced for clinical applications.
  • Radical prostatectomy is a standard surgical procedure for prostate cancer.
  • Comparative data on the clinical performance of new robotic systems versus established ones is crucial for surgical practice.

Purpose of the Study:

  • To report the initial clinical outcomes of patients who underwent radical prostatectomy using the Hugo RAS system.
  • To compare the outcomes of radical prostatectomy performed with the Hugo RAS system against those performed with the DaVinci robotic system.

Main Methods:

  • A non-randomized study included 34 patients with biopsy-proven prostate cancer undergoing radical prostatectomy.
  • Seventeen patients were treated with the Hugo RAS system, and 17 comparable patients treated with the DaVinci system were selected for comparison.
  • Intraoperative and postoperative data, including operative time, dock time, resection margins, anastomosis, and complications, were meticulously recorded and analyzed.

Main Results:

  • Operative times (210 vs. 195 minutes) and dock times (190 vs. 170 minutes) were similar between the Hugo RAS and DaVinci groups.
  • All patients achieved R0 or R1 resection and successful vesicourethral anastomosis.
  • No significant intraoperative or postoperative complications were observed within the 1-month follow-up period for either group.

Conclusions:

  • The Hugo RAS platform demonstrates safety and efficacy for pelvic procedures like radical prostatectomy.
  • Initial outcomes suggest the Hugo RAS system provides results comparable to established robotic systems.
  • The Hugo RAS represents a valuable addition to the available robotic surgical technologies.