U.O.C. Chirurgia Endocrina e Metabolica, Centro Dipartimentale di Chirurgia Endocrina e dell'Obesità, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Centro di Ricerca in Chirurgia delle Ghiandole Endocrine e dell'Obesità, Università Cattolica del Sacro Cuore, Rome, Italy.
Updates Surg. 2024 Jan;76(1):179-185. doi: 10.1007/s13304-023-01657-7. Epub 2023 Oct 20.
Robotic assisted surgery is a rapidly developing field in bariatric surgery. Its wide diffusion has led to the development and standardisation of robotic assisted approaches for various bariatric operations. However, further application has been limited thus far due to issues of cost-effectiveness and accessibility. The introduction of new robotic platforms may help overcome those obstacles. In this study, we present the first fifteen cases of Roux-en-Y Gastric Bypass (RYGB) operations performed with the new Hugo™ RAS system (Medtronic, Minneapolis, MN, USA). From January to March 2023, consecutive patients scheduled for minimal invasive Roux-en-Y-Bypass were randomly selected and underwent the procedure robotic-assisted with the new platform. No exclusion criteria were applied. Seven female and eight male patients with a median BMI of 42 (range: 36-50) and obesity-related comorbidities in eight cases underwent RYGB. The median docking time was 7 min (range: 6-8.5) and the median console time was 100 min (range: 70-150). Procedures were performed without intraoperative complications and no conversion to laparoscopy or open surgery was noted. Operative times were indicative of a steep learning curve. No early post-operative complications were observed. Based on our initial experience, RYGB with the Hugo™ RAS system is promising and may be integrated in established robotic programmes without requiring a long adaptation period.
机器人辅助手术是减重手术领域的一个快速发展领域。它的广泛传播导致了各种减重手术的机器人辅助方法的发展和标准化。然而，到目前为止，由于成本效益和可及性问题，其进一步应用受到限制。新的机器人平台的引入可能有助于克服这些障碍。在这项研究中，我们介绍了使用新的 Hugo™ RAS 系统（美敦力，明尼苏达州明尼阿波利斯）进行的前 15 例 Roux-en-Y 胃旁路术（RYGB）手术。在 2023 年 1 月至 3 月期间，连续选择了计划进行微创 Roux-en-Y 旁路手术的患者，并使用新平台进行机器人辅助手术。没有应用排除标准。7 名女性和 8 名男性患者，平均 BMI 为 42（范围：36-50），8 例患者有肥胖相关合并症，接受 RYGB。中位对接时间为 7 分钟（范围：6-8.5），中位控制台时间为 100 分钟（范围：70-150）。手术过程中无并发症，无中转腹腔镜或开放手术。手术时间表明存在陡峭的学习曲线。没有观察到早期术后并发症。根据我们的初步经验，使用 Hugo™ RAS 系统进行 RYGB 是有希望的，并且可以在不要求长适应期的情况下整合到现有的机器人程序中。
