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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
Summary
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.
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.
