Major colorectal surgery with Hugo™ RAS: initial experience of a German center and a review of the literature

• Published in: Updates in surgery 2024-09, Vol.76 (5), p.1705-1714
• Main Authors: Belyaev, Orlin, Fahlbusch, Tim, Slobodkin, Illya, Uhl, Wademar
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Colectomy - methods; Colorectal Neoplasms - surgery; Colorectal Surgery - methods; Female; Germany; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Operative Time; Original; Original Article; Rectum - surgery; Retrospective Studies; Robotic Surgical Procedures - methods; Surgery
• ISSN: 2038-131X; 2038-3312; 2038-3312
• DOI: 10.1007/s13304-024-01939-8

The recently introduced Hugo RAS robotic platform has mostly been used for well standardized urologic and gynaecologic procedures. Experience with this new system in general surgery and especially in major colorectal surgery is very limited. This is a retrospective series of the first 25 consecutive non-selected colorectal surgeries performed at a single German center. The lessons learned from our initial experience are presented along with a systematic review of the currently available literature on this topic. Ten sigmoid and seven rectal resections, four right and one left hemicolectomies, two Hartmann’s reversals and an abdominoperineal resection were performed in 14 women and 11 men at the median age of 66 years for 12 benign findings and 13 malignancies. All procedures were performed using four robotic ports and a single 12 mm assistant port. Median docking, console and total operative times were 12, 170 and 270 min. Median blood loss was