To report our initial experience with the use of HUGO™ Robotic Assisted Surgery System (RAS) for non-oncological urologic disease.
We collected retrospective data describing clinical outcomes from patients undergoing surgeries for non-oncological urologic disease with the new HUGO™ RAS. Analysis included: total surgery and console time, docking time, estimated bleeding, complications and pain after surgery.
There were 5 patients operated for non-oncological urologic disease. The mean age was 50 years (range 32-70), comorbidities were mild (2 patients with chronic hypertension) and American Society of Anesthesiologists (ASA) classification was 2. Total surgical time ranged from 150 to 257 minutes, and console time from 89 to 164 minutes, each depending on the intervention. The mean Docking time was 8.5 minutes (range 5.7-11). No intraoperative complications, instrument clashes, or system failure that compromised the surgery's completion were recorded. Mean blood loss ranged from 10-30 mL, and there were no postoperative complications. Postoperative pain classified from 0-10 at 1, 6 and 12 hours was low (range 0-3), and pain before discharge was 0 for all patients. Hospital stay ranged from 2 to 5 days, depending on the intervention.
Robotic surgery was introduced in early 2000s and was rapidly adopted. Initially, this technology was reserved for oncological surgery, later expanding to non-oncological conditions. These preliminary results are comparable to the previous robotic systems, suggesting the multiple potential uses of the HUGO™ RAS. The adoption of this technology has the potential to improve patient accessibility for less-invasive therapies in developing countries.
Urology. 2023 Feb 15 [Epub ahead of print]
Drs Vicente Elorrieta, José Villena, Álvaro Kompatzki, Alfredo Velasco, José A Salvadó
Medicine Faculty, Finis Terrae University, Santiago, Chile. Electronic address: ., Medicine Faculty, Finis Terrae University, Santiago, Chile. Electronic address: ., Medicine Faculty, Finis Terrae University, Santiago, Chile; Urology Staff, Urology Department, Clínica Santa María, Santiago, Chile. Electronic address: ., Medicine Faculty, Finis Terrae University, Santiago, Chile; Urology Staff, Urology Department, Clínica Santa María, Santiago, Chile. Electronic address: ., Medicine Faculty, Finis Terrae University, Santiago, Chile; Urology Staff, Urology Department, Clínica Santa María, Santiago, Chile. Electronic address: .