Robotic surgery

Electrical engineering

Cancer

Internal medicine

Engineering

Surgery

Pathology

Prospective cohort study

Alternative medicine

Da Vinci Surgical System

Prostatectomy

Kidney

Prostate cancer

Nephrectomy

Blood loss

Port (circuit theory)

General surgery

Informed consent

Medicine

Journal of Endourology

Background: The Hugo RAS is a newly launched robotic system for clinical use. This article provides the initial experience of the authors using Hugo RAS in urologic procedures. Methodology: Patients undergoing major urologic procedures, including nephrectomy and prostatectomy, were included in this prospective clinical trial. Institutional ethical approval was obtained, and patients were counseled preoperatively with informed consent. Both intraoperative and postoperative data were carefully recorded. Results: A total of seven patients were included in this initial study. This includes radical prostatectomy (n = 3), simple prostatectomy (n = 1), radical nephrectomy (n = 1), and simple nephrectomy (n = 2). The total operative time, port placement time, time to dock the ports, blood loss and length of hospital stay, and 30-day morbidity and mortality were recorded. There were no intraoperative or postoperative complications up to 1 month follow-up. Conclusion: From the early experience with the Hugo RAS™ platform, it appears to be a safe robotic platform for major urologic procedures and is a good addition to the existing arsenal of surgical robots.

Evaluation of Hugo RAS System in Major Urologic Surgery: Our Initial Experience