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Robot-assisted partial nephrectomy using the Hugo™ RAS System: first multicentre study and Tetrafecta achievement.

Francesco Prata1,2, Paolo Dell'Oglio3, Angelo Mottaran4

  • 1Department of Urology, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.

BJU International
|October 6, 2025
PubMed
Summary

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This summary is machine-generated.

The Hugo™ robot-assisted surgery (RAS) system demonstrates safety and effectiveness in robot-assisted partial nephrectomy (RAPN), achieving an 80% Tetrafecta rate. Surgical experience and R.E.N.A.L. score predict successful outcomes, supporting its adoption.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Robot-assisted partial nephrectomy (RAPN) is a standard procedure for kidney tumors.
  • Evaluating new robotic platforms is crucial for advancing surgical techniques.
  • The Hugo™ RAS system offers a novel approach to complex urological procedures.

Purpose of the Study:

  • To assess perioperative outcomes of RAPN using the Hugo™ RAS system.
  • To determine the rate of Tetrafecta achievement as a measure of surgical quality.
  • To identify predictors of successful Tetrafecta achievement in Hugo™ RAS RAPN cases.

Main Methods:

  • Multi-center data collection from five tertiary care centers performing RAPN with the Hugo™ RAS system.
  • Definition of Tetrafecta: negative margins, no major complications (Clavien-Dindo Grade ≥II), and ≤30% GFR decline at 90 days.
Keywords:
Hugo RAS systemTetrafectadockingnephron‐sparing surgerypartial nephrectomyrenal neoplasmrobotic

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  • Analysis of 140 RAPN cases, including operative times, blood loss, complications, and Tetrafecta achievement.
  • Main Results:

    • Successful RAPN with the Hugo™ RAS system in 140 patients; no conversions to open surgery.
    • Tetrafecta rate achieved in 80% of cases.
    • R.E.N.A.L. nephrometry score and surgeon experience were independent predictors of Tetrafecta achievement (P<0.05).

    Conclusions:

    • The Hugo™ RAS system facilitates safe and effective RAPN.
    • A high Tetrafecta rate (80%) indicates satisfactory surgical quality.
    • Findings support the adoption of the Hugo™ RAS system for RAPN procedures.