First worldwide report on Hugo RAS™ surgical platform in right and left colectomy

被引:35
作者
Bianchi, Paolo Pietro [1 ]
Salaj, Adelona [1 ]
Rocco, Bernardo [2 ]
Formisano, Giampaolo [1 ]
机构
[1] Univ Milan, Asst St Paolo & Carlo, Dept Surg, Dipartimento Sci Salute, Milan, Italy
[2] Univ Milan, ASST St Paolo & Carlo, Dipartimento Sci Salute, Urol Unit, Milan, Italy
关键词
Hugo RAS (TM); Robotic surgery; Robotic colectomy; Right colectomy; Left colectomy; Complete mesocolic excision;
D O I
10.1007/s13304-023-01489-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
The diffusion of robotic surgery is rapidly and constantly growing in different surgical specialties. Recently, novel robotic platforms have entered into the market. To date, however, most of the reports on their clinical use have specifically focused on gynecological and urological surgery. In this study, we present the first three robotic-assisted colectomies performed with the new Hugo RAS system (Medtronic, Minneapolis, MN, USA). The surgical team had previous robotic experience and completed simulation training and an official 2-day cadaver laboratory session. Operating room setting and trocar layout were planned and two full cadaver procedures were carried out (right and left colectomy). Onsite dry-run sessions were performed before tackling clinical cases. Three patients underwent robotic-assisted colectomies: one left colectomy, two right colectomies with complete mesocolic excision (CME) and high vascular ligation (HVL) at our Institution. Preoperative diagnosis was colonic adenocarcinoma in all cases. A description of the operative room setup, robotic arm configuration and docking angles is provided. Mean docking time and console time were 8 and 259 min, respectively. All the surgical steps were completed without critical surgical errors or high-priority alarms. Neither intraoperative complications nor conversions to open surgery were recorded. Postoperative courses were uneventful with a mean length of stay of 5 days. Further clinical data and experience are required for procedural standardization and potential integration of the system into robotic general surgery and colorectal programs.
引用
收藏
页码:775 / 780
页数:6
相关论文
共 10 条
  • [1] Balachandran P., 2022, INT SURG J, V9, P1358, DOI [10.18203/2349-2902.isj20221587, DOI 10.18203/2349-2902.ISJ20221587]
  • [2] Current Trends in the Utilization of a Robotic Approach in the Field of Bariatric Surgery
    Bauerle, Wayne B.
    Mody, Pooja
    Estep, Allison
    Stoltzfus, Jill
    El Chaar, Maher
    [J]. OBESITY SURGERY, 2023, 33 (02) : 482 - 491
  • [3] Robot-assisted Radical Prostatectomy with the Novel Hugo Robotic System: Initial Experience and Optimal Surgical Set-up at a Tertiary Referral Robotic Center
    Bravi, Carlo A.
    Paciotti, Marco
    Sarchi, Luca
    Mottaran, Angelo
    Nocera, Luigi
    Farinha, Rui
    De Backer, Pieter
    Vinckier, Marie-Helene
    De Naeyer, Geert
    D'Hondt, Frederiek
    De Groote, Ruben
    Mottrie, Alexandre
    [J]. EUROPEAN UROLOGY, 2022, 82 (02) : 233 - 237
  • [4] Initial experience with a novel robotic surgical system in abdominal surgery
    El Dahdah, Joseph
    Halabi, Mouhammad
    Kamal, Jado
    Zenilman, Michael E.
    Moussa, Hatem
    [J]. JOURNAL OF ROBOTIC SURGERY, 2023, 17 (03) : 841 - 846
  • [5] Trends in the Characteristics, Treatment, and Outcomes of Rectal Adenocarcinoma in the US From 2004 to 2019 A National Cancer Database Analysis
    Emile, Sameh H.
    Horesh, Nir
    Freund, Michael R.
    Garoufalia, Zoe
    Gefen, Rachel
    Silva-Alvarenga, Emanuela
    Maron, David J.
    DaSilva, Giovanna
    Wexner, Steven D.
    [J]. JAMA ONCOLOGY, 2023, 9 (03) : 355 - 364
  • [6] The first European gynaecological procedure with the new surgical robot Hugo™ RAS. A total hysterectomy and salpingo-oophorectomy in a woman affected by BRCA-1 mutation
    Monterossi, G.
    Anchora, L. Pedone
    Alletti, S. Gueli
    Fagotti, A.
    Fanfani, F.
    Scambia, G.
    [J]. FACTS VIEWS AND VISION IN OBGYN, 2022, 14 (01) : 91 - 94
  • [7] Robot-Assisted Sacropexy with the Novel HUGO Robot-Assisted Surgery System: Initial Experience and Surgical Setup at a Tertiary Referral Robotic Center
    Mottaran, Angelo
    Bravi, Carlo Andrea
    Sarchi, Luca
    Paciotti, Marco
    Nocera, Luigi
    Piro, Adele
    Piazza, Pietro
    De Backer, Pieter
    Farinha, Rui
    De Groote, Ruben
    De Naeyer, Geert
    Mottrie, Alexandre
    [J]. JOURNAL OF ENDOUROLOGY, 2023, 37 (01) : 35 - 41
  • [8] The new robotic platform Hugo™ RAS for lateral transabdominal adrenalectomy: a first world report of a series of five cases
    Raffaelli, Marco
    Gallucci, Pierpaolo
    Voloudakis, Nikolaos
    Pennestri, Francesco
    De Cicco, Roberto
    Arcuri, Giovanni
    De Crea, Carmela
    Bellantone, Rocco
    [J]. UPDATES IN SURGERY, 2023, 75 (01) : 217 - 225
  • [9] Robot-assisted Radical Prostatectomy with the Versius Robotic Surgical System: First Description of a Clinical Case
    Rocco, Bernardo
    Turri, Filippo
    Sangalli, Mattia
    Assumma, Simone
    Piacentini, Igor
    Grasso, Angelica
    Dell'Orto, Paolo
    Calcagnile, Tommaso
    Sarchi, Luca
    Bozzini, Giorgio
    Sighinolfi, Maria Chiara
    [J]. EUROPEAN UROLOGY OPEN SCIENCE, 2023, 48 : 82 - 83
  • [10] Clinical implementation of the Versius robotic surgical system in visceral surgery-A single centre experience and review of the first 175 patients
    Wehrmann, Stefan
    Tischendorf, Kristin
    Mehlhorn, Torsten
    Lorenz, Annelie
    Guendel, Michael
    Rudolph, Hagen
    Mirow, Lutz
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2023, 37 (01): : 528 - 534