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

IF 2.5 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY International Journal of Colorectal Disease Pub Date : 2024-09-18 DOI:10.1007/s00384-024-04715-7
Antonio Arroyo, Ana Sánchez-Romero, Álvaro Soler-Silva, Saray Quinto, Francisco López-Rodríguez-Arias, María-José Alcaide, Mónica Serrano-Navidad, Elena Miranda, José-Luis Muñoz, Luis Sánchez-Guillén
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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

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新型 Hugo™ RAS(机器人辅助手术)系统在结直肠手术中的应用指南和注意事项:一家三级中心的手术结果和初步经验
目的 一种新型机器人平台--Hugo™ RAS(机器人辅助手术)系统--已经问世,它具有多项创新技术,例如开放式控制台和四个可互换的模块化手臂,这些创新技术可能对外科医生有利。我们的研究旨在评估该平台的安全性、有效性以及对结直肠病理学手术治疗的潜在影响。方法2023 年 10 月至 2024 年 7 月期间,埃尔切综合大学医院的患者使用 Hugo™ RAS 系统接受了机器人辅助结直肠手术。记录了患者特征、术中和术后变量以及机器人技术问题。结果共纳入 40 例连续患者(14 例右侧、13 例左侧和 8 例直肠肿瘤;4 例左侧憩室炎;1 例回盲部克罗恩病)。患者的特征如下:中位年龄 69.5 岁;24 名男性和 16 名女性;45% ASA III-IV;Charlson 合并症指数> 5:42.5%。我们记录了 4 例内科并发症(2 例贫血、1 例静脉炎和 1 例入住重症监护室)和 3 例外科并发症(1 例切口血肿、1 例肠道闭塞和 1 例吻合口开裂)。无论是开腹手术还是腹腔镜手术,都没有出现转院情况。结论 Hugo™ RAS 系统用于结直肠手术安全可行。手术臂的模块化设计提供了根据患者身体特征和外科医生喜好调整配置的多功能性,以及对手术室的更大适应性。开放式控制台非常舒适,符合外科医生的人体工学,允许与手术室环境进行交流。
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来源期刊
CiteScore
4.90
自引率
3.60%
发文量
206
审稿时长
3-8 weeks
期刊介绍: The International Journal of Colorectal Disease, Clinical and Molecular Gastroenterology and Surgery aims to publish novel and state-of-the-art papers which deal with the physiology and pathophysiology of diseases involving the entire gastrointestinal tract. In addition to original research articles, the following categories will be included: reviews (usually commissioned but may also be submitted), case reports, letters to the editor, and protocols on clinical studies. The journal offers its readers an interdisciplinary forum for clinical science and molecular research related to gastrointestinal disease.
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