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. 2024 Sep 18;39(1):144.
doi: 10.1007/s00384-024-04715-7.

Utility guideline and considerations for the novel Hugo™ RAS (robotic-assisted surgery) system in colorectal surgery: surgical outcomes and initial experience in a tertiary center

Antonio Arroyo  1   2 , Ana Sánchez-Romero  3 , Álvaro Soler-Silva  3 , Saray Quinto  3 , Francisco López-Rodríguez-Arias  3   4 , María-José Alcaide  3   4 , Mónica Serrano-Navidad  3 , Elena Miranda  5 , José-Luis Muñoz  5 , Luis Sánchez-Guillén  3   4
Affiliations

Utility guideline and considerations for the novel Hugo™ RAS (robotic-assisted surgery) system in colorectal surgery: surgical outcomes and initial experience in a tertiary center

Antonio Arroyo et al. Int J Colorectal Dis. .

Abstract

Purpose: A novel robotic platform-Hugo™ RAS (robotic-assisted surgery) system-has been introduced with several innovations that may prove advantageous for surgeons, such as an open console and four interchangeable modular arms. Our study aims to evaluate this platform's safety, efficacy, and potential impact on the surgical treatment of colorectal pathology.

Methods: Patients underwent robotic-assisted colorectal procedures with the Hugo™ RAS system at the General University Hospital of Elche from October 2023 to July 2024. Patient characteristics, intraoperative and postoperative variables, and robotic technical issues were recorded.

Results: Forty consecutive patients were included (14 right, 13 left, and 8 rectum neoplasms; 4 left diverticulitis; and 1 ileocecal Crohn's disease). The patients' characteristics were as follows: median age, 69.5 years; 24 males and 16 females; 45% ASA III-IV; and Charlson Comorbidity Index > 5:42.5%. We recorded four medical (2 anemia, 1 phlebitis, and 1 admission to the intensive care unit) and three surgical (1 hematoma of the incision, 1 intestinal occlusion, and 1 dehiscence of the anastomosis) postoperative complications. We had no conversions neither open nor laparoscopic surgery. The average hospital stay was 3 days, with no mortality or readmission.

Conclusions: The Hugo™ RAS system is safe and feasible for colorectal procedures. The modularity of the arms provides the versatility of configurations adjusted depending on the patient's body features and the surgeon's preferences and greater adaptability to operating rooms. The open console is highly comfortable and ergonomic for the surgeon, allowing communication with the operating room environment.

Trial registration: NCT06512480.

Keywords: Colorectal surgery; Ergonomics; Hugo™ RAS system; Robotic surgery; Surgical innovations.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Trocar placement sites for robot-assisted right colectomy with the Hugo™ RAS system
Fig. 2
Fig. 2
Operative setting for robot-assisted right colectomy with the Hugo™ RAS system
Fig. 3
Fig. 3
Trocar placement sites for robot-assisted left colectomy with the Hugo™ RAS system
Fig. 4
Fig. 4
Operative setting for robot-assisted left colectomy with the Hugo™ RAS system
Fig. 5
Fig. 5
Trocar placement sites for robot-assisted rectal resection with the Hugo™ RAS system
Fig. 6
Fig. 6
Operative setting for robot-assisted rectum resection with the Hugo™ RAS system
See this image and copyright information in PMC

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References

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