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Across Walls: First Intra-hospital Remote Hugo Robotic Assisted Bariatric Surgery.

Chih-Kun Huang1, Ishfaq Alam Afridi1, Ming-Che Hsin1

  • 1China Medical University Hospital, Taichung, Taiwan.

Obesity Surgery
|December 19, 2025
PubMed
Summary
This summary is machine-generated.

This study details the first intra-hospital remote robotic surgery for metabolic and bariatric procedures. The successful case demonstrates improved surgeon ergonomics, operating room efficiency, and patient safety in remote robotic surgery.

Keywords:
Hugo RAS systemIntra-hospital remote surgeryLow-latency surgical networkMetabolic and bariatric surgeryMinimally invasive surgerySurgical innovation

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Area of Science:

  • Robotics
  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Robotic-assisted surgery enhances safety, ergonomics, and operating room (OR) utilization.
  • Intra-hospital remote surgery offers practical advantages over traditional long-distance applications.
  • The Hugo robotic system facilitates advanced surgical workflows.

Purpose of the Study:

  • To report the first case of intra-hospital remote robotic-assisted metabolic and bariatric surgery.
  • To evaluate the feasibility, safety, and potential benefits of performing remote robotic surgery within a single hospital.
  • To showcase an innovative application of robotic surgery for complex procedures.

Main Methods:

  • A robotic sleeve gastrectomy with proximal jejunal bypass and hiatal hernia repair was performed.
  • The patient cart was in OR A; the surgeon console was 20m away in an office, connected via fiber optics.
  • A trained bedside team supported the procedure, ensuring seamless operation.

Main Results:

  • The procedure was completed successfully without complications, comparable to conventional robotic surgery.
  • Operative and docking times were efficient, with minimal blood loss and early patient discharge.
  • No network delays or technical failures occurred during the remote surgery.

Conclusions:

  • Intra-hospital remote robotic surgery is technically feasible and safe for metabolic and bariatric procedures.
  • This approach optimizes OR space, enhances surgeon comfort, and reduces exposure to hazards.
  • The model offers scalability for collaboration and education, demonstrating significant institutional value.