Totaro Angelo, Campetella Marco, Bientinesi Riccardo, Gandi Carlo, Palermo Giuseppe, Russo Andrea, Aceto Paola, Bassi PierFrancesco, Sacco Emilio
Department of Urology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Roma, Italy.
Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Anesthesiology Emergency and Intenive Care Medicine, Roma, Italy.
Urologia. 2022 Nov;89(4):603-609. doi: 10.1177/03915603221107855. Epub 2022 Jun 28.
To date, robotic surgery in urology is well established all over the world. The newest platform on the market is the HUGO™ RAS system, developed by Medtronic. In this paper we provide a brief description of the system and describe our system set-up and surgical approach with this new platform in our initial experience of robotic radical prostatectomy (RARP) series.
After an official training, seven consecutive patients affected by localized prostate cancer underwent RARP with HUGO RAS system at our Institution. A description of our surgical approach and docking setup is provided. Docking and console times were reported for all precedures together with main suggestions to facilitate the use of this new system at the beginning of the experience.
Our operating room setup has shown to be safe, effective, and easy replicable. During our series, operative times appeared to be easy reproducible and comparable to those obtained with daVinci system. No major system faults and conflicts between robotic arms were observed after the first procedure.
Our surgical approach and system configuration for performing RARP with the new HUGO™ RAS system appears to be safe, efficient and easy reproducible.
迄今为止，泌尿外科机器人手术在全球已得到广泛应用。市场上最新的平台是美敦力公司开发的HUGO™机器人辅助手术（RAS）系统。在本文中，我们简要介绍该系统，并描述在我们开展机器人根治性前列腺切除术（RARP）系列的初步经验中，使用这个新平台的系统设置和手术方法。
经过官方培训后，我们机构连续7例局限性前列腺癌患者接受了使用HUGO RAS系统的RARP手术。本文介绍了我们的手术方法和对接设置。报告了所有手术的对接时间和控制台操作时间，并给出了在经验积累初期便于使用这一新系统的主要建议。
我们的手术室设置已证明是安全、有效且易于复制的。在我们的系列手术中，手术时间似乎易于重复，且与使用达芬奇系统所获得的时间相当。首次手术后未观察到重大系统故障及机械臂之间的冲突。
我们使用新型HUGO™ RAS系统进行RARP的手术方法和系统配置似乎是安全、高效且易于重复的。
