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Related Experiment Video

Updated: May 12, 2026

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
07:27

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection

Published on: February 7, 2025

Development and Validation of the HUGO-SWAP Workflow for Single-Docking Robotic Colorectal Surgery.

Takashi Nonaka1,2,3, Shintaro Hashimoto1, Tetsuro Tominaga1

  • 1Department of Surgery, Colorectal Surgery, Nagasaki University Hospital, Nagasaki, Japan.

Surgical Innovation
|May 11, 2026
PubMed
Summary

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This summary is machine-generated.

The HUGO-SWAP workflow allows safe single-docking for robotic colorectal surgery on independent-arm platforms. This strategy maintains short-term safety and oncologic outcomes, proving its clinical feasibility.

Area of Science:

  • Robotic Surgery
  • Colorectal Surgery
  • Surgical Innovation

Background:

  • Independent-arm robotic systems offer flexible instrument use.
  • Standardized colorectal surgical workflows for these systems are limited.
  • The HUGO-SWAP workflow was developed to address this gap.

Purpose of the Study:

  • To evaluate the clinical feasibility of the HUGO-SWAP workflow.
  • To assess the safety and efficacy of single-docking robotic colorectal surgery.
  • To compare outcomes with existing robotic systems.

Main Methods:

  • A single-docking strategy (HUGO-SWAP) was implemented for robotic colorectal resection.
  • 274 patients were analyzed after exclusions from April 2020 to December 2025.
  • Propensity score matching (1:2) compared HUGO cases (41) with da Vinci Xi cases (82).
Keywords:
HUGO RAS systemindependent-arm roboticsrobotic colorectal surgerysingle-docking workflowsurgical workflow optimization

Related Experiment Videos

Last Updated: May 12, 2026

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
07:27

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection

Published on: February 7, 2025

Main Results:

  • Postoperative complication rates were similar between HUGO (19.5%) and da Vinci (22.0%) groups.
  • Oncologic outcomes (lymph node yield, stage, margins) were comparable.
  • Operative time was longer for HUGO (254 min vs 216 min), with no re-docking or conversions needed.

Conclusions:

  • The HUGO-SWAP workflow enables safe single-docking robotic colorectal surgery on independent-arm platforms.
  • Short-term safety and oncologic adequacy were preserved.
  • The workflow is feasible and reproducible in clinical practice.