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Initial experience of robot-assisted partial nephrectomy with Hugo™ RAS system: implications for surgical setting.

Andrea Gallioli1, Alessandro Uleri2, Josep Maria Gaya1

  • 1Department of Urology, Fundació Puigvert, Autonomous University of Barcelona, Carrer de Cartagena, 350, 08025, Barcelona, Spain.

World Journal of Urology
|February 27, 2023
PubMed
Summary

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The Hugo™ RAS system demonstrates feasibility for robot-assisted partial nephrectomy (RAPN). This initial study details the surgical setting and performance of the Hugo™ RAS system in RAPN procedures.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • The Hugo™ RAS system is an emerging robotic platform in urology.
  • Limited data exists on its application in robot-assisted partial nephrectomy (RAPN).

Purpose of the Study:

  • To describe the operative setting and evaluate the performance of the Hugo™ RAS system for RAPN.
  • To report on the initial series of RAPN procedures using this novel robotic platform.

Main Methods:

  • Prospective enrollment of 10 patients undergoing RAPN between February and December 2022.
  • Transperitoneal RAPN performed with a modular four-arm configuration.
  • Data collection included operative setting, trocar placement, and pre/intra/post-operative variables.
Keywords:
Medtronic Hugo RAS systemNephron sparing surgeryRenal cancerRobot-assisted partial nephrectomyRobotic surgery

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Main Results:

  • RAPN performed on 10 patients (7 right-sided, 3 left-sided masses).
  • Median tumor size: 3 cm; PADUA score: 9.
  • Median console time: 138 minutes; median warm ischemia time: 13 minutes.
  • One major complication (Clavien-Dindo 3a); no positive surgical margins.

Conclusions:

  • This study confirms the feasibility of the Hugo™ RAS system for RAPN.
  • Preliminary findings can guide new users in optimizing robotic surgery with this platform.