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Full robotic cholecystectomy: first worldwide experiences with HUGO RAS surgical platform
Damiano Caputo1,2, Tommaso Farolfi1, Chiara Molina1
1Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200 - 00128, Roma, Italy.
ANZ Journal of Surgery
|November 20, 2023
Summary
This study details the first global use of the Hugo RAS™ system for full robotic cholecystectomy. The innovative robotic platform demonstrated safe and effective gallbladder removal, paving the way for broader general surgery applications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Robotics
Background:
- The Hugo RAS™ system is approved for gynecological and urological procedures.
- Recent certification allows its use in select general surgeries, with prior reports limited to bariatric and colorectal procedures.
Purpose of the Study:
- To report the first worldwide experience using the Hugo RAS™ system for full robotic cholecystectomy.
- To evaluate the feasibility and initial outcomes of this novel application.
Main Methods:
- Three cases of full robotic cholecystectomy were performed using the Hugo RAS™ system.
- Detailed descriptions of the operative room setup, docking angles, and surgical procedures were recorded.
Main Results:
- Docking times were 12, 10, and 6 minutes for the three cases.
- Total operative times were 105, 100, and 88 minutes, respectively.
- All procedures had uneventful intra-operative and post-operative courses.
Conclusions:
- The Hugo RAS™ system, with a pre-defined setup, can be safely used for full robotic cholecystectomy.
- This approach avoids the need for additional ports, highlighting the system's innovative conformation for general surgery.

