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Robot-assisted video-endoscopic inguinal lymphadenectomy with the Hugo™ RAS System: surgical set-up and initial
Josep M Gaya1, Camille Berquin2,3, Giuseppe Basile1,4
1Department of Urology, Fundació Puigvert, Autonomous University of Barcelona, Barcelona, Spain.
Background:
The Hugo™ RAS system is gaining prominence in the field of urologic robotic surgery. To date, no study has described robot-assisted video-endoscopic inguinal lymphadenectomy (RAVEIL) using this system. Therefore, the aim of the study is to evaluate the feasibility and safety of the procedure, focusing on surgical set-up and preliminary results.
Methods:
A total of seven procedures in five patients with penile cancer were prospectively included. Baseline patient characteristics, intra- and post-operative surgical outcomes were recorded.
Results:
Overall, four patients (80%) had negative clinical N-staging (cN0). Median (IQR) operative time was 90 (85-97.5) minutes, with a median (IQR) of 8 (8-9) lymph node yield per procedure. One post-operative complication, a lymphocele requiring percutaneous drainage (Clavien-Dindo 3a), was reported. Median (IQR) hospital stay was 3 (3-3.5) days and the median (IQR) time to drain removal was 8 (6.5-10) days.
Conclusions:
This is the first case series demonstrating the safety and feasibility of RAVEIL using the Hugo™ RAS system. The surgical configuration described may serve as a valuable reference standard for RAVEIL with this robotic platform and help novel adopters in implementing the platform in another surgical scenario.
