The new robotic system HUGO RAS for gynecologic surgery: First European experience from Gemelli Hospital

Author:

Gioè Alessandro1,Monterossi Giorgia1,Gueli Alletti Salvatore2,Panico Giovanni3,Campagna Giuseppe3,Costantini Barbara1,Naldini Angelica1,Pedone Anchora Luigi1,Oliva Riccardo4,Mastrovito Sara4,Fagotti Anna14,Fanfani Francesco14ORCID,Scambia Giovanni14

Affiliation:

1. UOC Ginecologia Oncologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome Italy

2. UOC Ginecologica e Ostetricia, Dipartimento Materno‐Infantile Ospedale Buccheri La Ferla Fatebenefratelli Palermo Italy

3. UOC Chirurgia Ginecologica, Dipartimento per la salute della Donna e del Bambino e della Salute Pubblica Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome Italy

4. Università Cattolica del Sacro Cuore Rome Italy

Abstract

AbstractObjectiveTo evaluate the safety and feasibility of the new surgical robot HUGO robotic assisted surgery (RAS) in a series of gynecologic surgical procedures.MethodsBetween March and October 2022, 138 patients treated at Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy were enrolled in the study. All patients suitable for a minimally‐invasive approach were prospectively included and divided into two groups: Group 1 (78 patients) made up of patients operated on for uterine and/or adnexal pathologies, and Group 2 (60 patients) made up of patients treated for pelvic organ prolapse.ResultsIn Group 1, median docking time (DT) was 5 min and median console time (CT) was 90 min. In two patients (2.6%) redocking was necessary. In two patients (2.6%), the surgeon continued the surgery laparoscopically. Intraoperative complications occurred in two surgeries (2.6%). In Group 2, median DT was 4 min and median CT was 134.5 min. In three patients (5%), redocking was necessary. In all patients, the surgery was successfully completed robotically without intraoperative complications.ConclusionsThe present study demonstrates that the new HUGO RAS system for gynecologic surgery is safe with good results in terms of surgical efficacy and perioperative outcomes. Further studies are needed to investigate its use in other technical and surgical aspects.

Publisher

Wiley

Subject

Obstetrics and Gynecology,General Medicine

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