V01-06 ROBOT-ASSISTED PYELOPLASTY WITH THE NOVEL HUGO TM RAS SYSTEM: SURGICAL SETUP AT A HIGH VOLUME ROBOTIC CENTER

Abstract

You have accessJournal of UrologyCME1 Apr 2023V01-06 ROBOT-ASSISTED PYELOPLASTY WITH THE NOVEL HUGOTM RAS SYSTEM: SURGICAL SETUP AT A HIGH VOLUME ROBOTIC CENTER Maria Peraire Lores, Carlo Bravi, Marco Paciotti, Luca Sarchi, Luigi Nocera, Adele Piro, Eleonora Balestrazzi, Angelo Mottaran, Federico Piramide, Rui Farinha, Geert De Naeyer, Alexandre Mottrie, and Ruben De Groote Maria Peraire LoresMaria Peraire Lores More articles by this author , Carlo BraviCarlo Bravi More articles by this author , Marco PaciottiMarco Paciotti More articles by this author , Luca SarchiLuca Sarchi More articles by this author , Luigi NoceraLuigi Nocera More articles by this author , Adele PiroAdele Piro More articles by this author , Eleonora BalestrazziEleonora Balestrazzi More articles by this author , Angelo MottaranAngelo Mottaran More articles by this author , Federico PiramideFederico Piramide More articles by this author , Rui FarinhaRui Farinha More articles by this author , Geert De NaeyerGeert De Naeyer More articles by this author , Alexandre MottrieAlexandre Mottrie More articles by this author , and Ruben De GrooteRuben De Groote More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003221.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: New surgical robots with various technical enhancements are gaining popularity in urology and may increase the use of robotics also in non-oncological fields. HUGO RAS system is a robotic platform with independent arm carts and an open console. Here, we presented our first robot-assisted pyeloplasty with HUGO RAS system with the aim to describe technical feasibility and surgical setup of this novel robotic platform for benign kidney surgery. METHODS: A 36-year-old male, without previous abdominal surgeries, was diagnosed with a left pyeloureteral junction stenosis. The CT scan showed a left kidney hydronephrosis with a pelvis diameter of 6 cm with a delayed urinary excretion. The MAG-3 scan showed left and right renal function of 27% and 73%, respectively. A robot-assisted left pyeloplasty was performed through a transperitoneal approach with the HUGO RAS system. With the patient in right lateral decubitus, a 12-mm Airseal trocar was placed 2 cm lateral to the umbilicus, on the left pararectal line. Other two 8-mm robotic ports and an 11-mm optic port were placed under vision in a diamond configuration (Figure 1), all of them 8 cm apart from each other and 2 cm away from bone prominences; lastly, an 8-mm port was placed in the left lower quadrant. In order to optimise working space, three arm carts (corresponding to surgeon’s left hand, optic and forth robotic arm, respectively) were positioned behind the operative bed, whereas one arm cart (i.e. surgeon’s right hand) was placed in front of the patient. RESULTS: The patient was classified as ASA 1 and had a preoperative creatinine of 1.16 mg/dl. Operative and console time were 95 and 70 minutes, respectively. No intraoperative complications occurred, and blood loss was <20 cc. No technical problems, instruments or arms clashes were reported. The patient was discharged the second postoperative day with a creatinine of 1.02 mg/dl. No perioperative complications were reported. CONCLUSIONS: Robot-assisted pyeloplasty using the new HUGO RAS system is safe, feasible and it guarantees optimal perioperative and early functional outcomes. Awaiting study with longer follow-up, our data showed that HUGO RAS might be considered a valuable treatment option for benign kidney surgery, providing relevant information for future adopters of this surgical platform. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e80 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Maria Peraire Lores More articles by this author Carlo Bravi More articles by this author Marco Paciotti More articles by this author Luca Sarchi More articles by this author Luigi Nocera More articles by this author Adele Piro More articles by this author Eleonora Balestrazzi More articles by this author Angelo Mottaran More articles by this author Federico Piramide More articles by this author Rui Farinha More articles by this author Geert De Naeyer More articles by this author Alexandre Mottrie More articles by this author Ruben De Groote More articles by this author Expand All Advertisement PDF downloadLoading ...