MP50-13 FEASIBILITY AND OPTIMAL SETTING OF ROBOT-ASSISTED PARTIAL NEPHRECTOMY USING A NOVEL MULTI-ARM, MODULAR ROBOTIC PLATFORM

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You have accessJournal of UrologyCME1 May 2022MP50-13 FEASIBILITY AND OPTIMAL SETTING OF ROBOT-ASSISTED PARTIAL NEPHRECTOMY USING A NOVEL MULTI-ARM, MODULAR ROBOTIC PLATFORM Carlo Andrea Bravi, Luca Sarchi, Angelo Mottaran, Pietro Piazza, Fernando Gonzalez Meza, Marco Corsetti, Sophie Knipper, Marco Paciotti, Marco Amato, Rui Farinha, Stefano Puliatti, Simone Scarcella, Geert De Naeyer, Ruben De Groote, and Alexandre Mottrie Carlo Andrea BraviCarlo Andrea Bravi More articles by this author , Luca SarchiLuca Sarchi More articles by this author , Angelo MottaranAngelo Mottaran More articles by this author , Pietro PiazzaPietro Piazza More articles by this author , Fernando Gonzalez MezaFernando Gonzalez Meza More articles by this author , Marco CorsettiMarco Corsetti More articles by this author , Sophie KnipperSophie Knipper More articles by this author , Marco PaciottiMarco Paciotti More articles by this author , Marco AmatoMarco Amato More articles by this author , Rui FarinhaRui Farinha More articles by this author , Stefano PuliattiStefano Puliatti More articles by this author , Simone ScarcellaSimone Scarcella More articles by this author , Geert De NaeyerGeert De Naeyer More articles by this author , Ruben De GrooteRuben De Groote More articles by this author , and Alexandre MottrieAlexandre Mottrie More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002625.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Nephron-sparing surgery is a challenging procedure that requires surgical dexterity and speed of execution. Due to its technical complexity, the benefits provided by the robotic approach have led to an increasing interest in robot-assisted partial nephrectomy (RAPN). Our aim was to assess procedural feasibility and to describe our technical setting for RAPN using the novel HUGO RAS system (MedTronic ©) on a pre-clinical model. METHODS: HUGO RAS System was used to perform 3 RAPNs on human cadavers. This novel robotic system has independent robotic arms that allow for a modular configuration, an open high-definition console, 3-dimension vision goggles, and easy-grip “pistol-like” controllers. We sought to describe the optimal setup configuration for this new robotic platform, and to assess technical feasibility of all the procedural steps. All components of surgical team (console surgeon, bed-side assistant and scrub nurse) received an official technical training. Patient positioning, arm cart disposition, and trocar placement were described. Docking time, operative time, and technical errors of the system were recorded, as well as intra-operative complications such as clashing of the instruments and/or injury to abdominal organs. RESULTS: Instruments consisted of monopolar scissors, forceps bipolar, and needle driver; a 0-degree camera was used. With patients on flank position, four robotic trocars (one 11-mm optic port, and three 8-mm robotic ports) were positioned in a ‘diamond’ configuration, with three arm carts behind the back of the patient, and one arm cart positioned in front of the abdomen (Figure 1). One 12-mm assistant trocar was placed on the para-rectal line. All procedures were performed trans-peritoneally, and all cases were completed following all traditional steps. Docking time ranged between 3 and 7 minutes. Mean (standard deviation) operative time was 55 (±15) minutes. No operative complications, nor technical failure by the system occurred with our setup. CONCLUSIONS: RAPN with HUGO RAS system is feasible and safe in a pre-clinical setting. Future investigations should focus on technical standardization and optimal setting of this novel robotic platform in a clinical setting. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e870 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Carlo Andrea Bravi More articles by this author Luca Sarchi More articles by this author Angelo Mottaran More articles by this author Pietro Piazza More articles by this author Fernando Gonzalez Meza More articles by this author Marco Corsetti More articles by this author Sophie Knipper More articles by this author Marco Paciotti More articles by this author Marco Amato More articles by this author Rui Farinha More articles by this author Stefano Puliatti More articles by this author Simone Scarcella More articles by this author Geert De Naeyer More articles by this author Ruben De Groote More articles by this author Alexandre Mottrie More articles by this author Expand All Advertisement PDF DownloadLoading ...