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Robot-assisted pyeloplasty with the New Hugo™ RAS: step-by-step surgical settings and technique
Alberto Ragusa1, Francesco Prata2, Andrea Iannuzzi2
1Department of Urology, Campus Bio-Medico University Polyclinic Foundation, Rome, Italy - alberto.ragusa@unicampus.it.
Minerva Urology and Nephrology
|June 27, 2025
Summary
This study demonstrates the feasibility of robotic pyeloplasty using the Hugo™ RAS System. The novel platform offers a user-friendly setup and satisfactory outcomes with a three-arm configuration.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Robotic pyeloplasty is an established procedure for ureteropelvic junction obstruction.
- The Hugo™ RAS System is a novel robotic platform for surgical procedures.
Purpose of the Study:
- To evaluate the feasibility and surgical setup of robotic pyeloplasty using the Hugo™ RAS System.
- To assess the perioperative outcomes of this new robotic platform in pyeloplasty.
Main Methods:
- A case series of five consecutive robotic pyeloplasties were performed using a trans-peritoneal approach.
- A three-arm configuration with specific port placement was utilized to optimize workspace and avoid instrument clashes.
- Key surgical steps included docking, UPJ stenosis excision, and ureteral spatulation.
Main Results:
- The median docking time was 4 minutes, and console time was 115 minutes.
- No intraoperative complications or instrument/arm clashes were observed.
- Patients were discharged on postoperative day 3 with no early complications and satisfactory follow-up outcomes.
Conclusions:
- The Hugo™ RAS System provides a user-friendly docking system for robotic pyeloplasty.
- A simple three-arm configuration is sufficient for successful robotic pyeloplasty with satisfactory perioperative results.
