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Related Concept Videos

Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

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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.

Minerva Urology and Nephrology
|April 4, 2025
PubMed
Summary

This study shows robot-assisted video-endoscopic inguinal lymphadenectomy (RAVEIL) using the Hugo™ RAS system is feasible and safe for penile cancer patients. The described surgical setup provides a reference for adopting this robotic platform in new scenarios.

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Area of Science:

  • Urologic robotic surgery
  • Minimally invasive surgical techniques

Background:

  • The Hugo™ RAS system is increasingly used in urologic robotic surgery.
  • Robot-assisted video-endoscopic inguinal lymphadenectomy (RAVEIL) using this system has not been previously described.

Purpose of the Study:

  • To evaluate the feasibility and safety of RAVEIL with the Hugo™ RAS system.
  • To document the surgical set-up and preliminary outcomes of this novel procedure.

Main Methods:

  • Prospective inclusion of seven procedures in five patients with penile cancer.
  • Recording of baseline patient characteristics, intraoperative, and postoperative surgical outcomes.

Main Results:

  • Median operative time was 90 minutes with a median lymph node yield of 8 per procedure.
  • 80% of patients had negative clinical N-staging (cN0).
  • One complication (lymphocele, Clavien-Dindo 3a) occurred; median hospital stay was 3 days.

Conclusions:

  • This is the first case series demonstrating the safety and feasibility of RAVEIL using the Hugo™ RAS system.
  • The surgical configuration serves as a reference for RAVEIL with this platform.
  • Facilitates adoption of the Hugo™ RAS system in other surgical settings.