Related Experiment Video
Updated: May 2, 2026
06:46
Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
533
Docking optimization for right hemicolectomy with complete mesocolon excision (CME) with HUGO™ robotic system: the
Claudio Fiorillo1,2, Davide De Sio3, Beatrice Biffoni1,2
1Digestive Surgery Unit, Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
Techniques in Coloproctology
|May 1, 2026
Summary
A new docking strategy, the "Gemelli configuration," enhances robotic right hemicolectomy with complete mesocolic excision (CME) using the HUGO™ RAS system. This approach improves visualization and access, offering a safe and reproducible technique.
Area of Science:
- Surgical Oncology
- Robotic Surgery
- Colorectal Surgery
Background:
- Laparoscopic complete mesocolic excision (CME) for right hemicolectomy is challenging.
- Robotic-assisted surgery (RAS) offers improved visualization and dexterity.
- Limited experience exists for the HUGO™ RAS system with CME, and standard docking has drawbacks.
Purpose of the Study:
- To introduce and evaluate a novel docking strategy for robotic right hemicolectomy with CME using the HUGO™ RAS system.
- To optimize instrument triangulation and minimize robotic arm interference.
- To enhance surgical efficiency and outcomes in complex colorectal procedures.
Main Methods:
- Developed the "Gemelli configuration," a modified docking strategy for the HUGO™ RAS platform.
- Applied the technique in two consecutive robotic right hemicolectomy with CME cases.
- Focused on improving visualization of the mesenteric axis and vascular pedicles.
Main Results:
- Successfully completed both procedures robotically with a single docking.
- Experienced no robotic arm collisions or need for repositioning.
- Observed enhanced visualization and improved access to the transverse mesocolon compared to standard docking.
Conclusions:
- The "Gemelli configuration" is a safe, simple, and reproducible docking strategy for robotic right hemicolectomy with CME using the HUGO™ RAS system.
- This novel approach enhances surgical visualization and instrument manipulation.
- Further studies with larger patient cohorts are recommended to validate these initial findings.
