Implementation and outcomes in benign gynecological surgery with HUGO™ RAS system 12 months initial experience.

Area of Science:

• Minimally Invasive Surgery
• Gynecological Surgery
• Robotic-Assisted Surgery

Background:

• Robotic-assisted surgery (RAS) offers potential benefits in gynecological procedures.
• The Hugo™ system represents a new platform for minimally invasive gynecological interventions.

Purpose of the Study:

• To evaluate the perioperative outcomes and team experience with the Hugo™ Robotic-Assisted Surgery system in benign gynecological surgeries.
• To assess the system's adaptability, efficiency, and identify initial challenges during its learning curve.

Main Methods:

• Retrospective analysis of 60 patients undergoing elective robotic surgeries for benign gynecological conditions (Feb 2023-Feb 2024).
• Data collected included patient demographics, surgical indications, perioperative metrics (port placement, docking, console time), and procedural outcomes (satisfaction, troubleshooting, complications).

Main Results:

• Procedures included pelvic endometriosis (53%), hysterectomies (27%), and adnexal surgery (10%).
• Mean port-placement time: 13 min 41 s; docking time: 5 min 51 s; console time: 1 h 5 min.
• System demonstrated flexibility in port configurations (31% low-port, 63% asymmetrical arm positioning).
• Identified challenges: arm tremors and limited assistant workspace.

Conclusions:

• The Hugo™ RAS system is adaptable for benign gynecological surgeries, with a potentially rapid learning curve for port placement, docking, and procedure times in well-trained teams.
• Despite initial operational challenges, the system shows promise, indicating it is currently in its learning curve period.