Preprint Case Report Version 1 This version is not peer-reviewed

First Worldwide Report of a Total Colectomy with the Hugo RAS Platform

Version 1 : Received: 7 September 2024 / Approved: 7 September 2024 / Online: 9 September 2024 (08:27:59 CEST)

How to cite: Santos, M. D.; Brandão, P. First Worldwide Report of a Total Colectomy with the Hugo RAS Platform. Preprints 2024, 2024090614. https://doi.org/10.20944/preprints202409.0614.v1 Santos, M. D.; Brandão, P. First Worldwide Report of a Total Colectomy with the Hugo RAS Platform. Preprints 2024, 2024090614. https://doi.org/10.20944/preprints202409.0614.v1

Abstract

Background - Compared to the da Vinci platform, there is limited experience with the Hugo RAS platform for colorectal surgery in Europe. This difference is especially notable when considering a single complex procedure, such as total colectomy. Aim - To demonstrate the feasibility and safety of using the Hugo RAS for assisted total colectomy. Clinical case- Female patient: eighteen-year-old with Familial Adenomatous Polyposis (FAP). Her IBM was 19. She underwent a total colectomy with ileorectal anastomosis using the Hugo RAS platform. The procedure took 230 minutes and had no complications. The postoperative period was uneventful. She was discharged from the hospital on the third postoperative day. Conclusion - The Hugo RAS platform is one of the emergent minimally invasive robotic platforms that can be used even in total colectomy if the proper patient selection is made. The placement choice of arms and trocars was crucial to obtain a similar operative time of the single laparoscopic approach. The certification of Hugo’s new instruments, such as energy devices and staplers, will make this platform even more competitive.

Keywords

Hugo RAS Total colectomy; Robotic total colectomy; Minimally Invasive Surgical Procedure; Robotic colorectal surgery; Familial Adenomatous polyposis; Robotic technical surgery aspects

Subject

Medicine and Pharmacology, Surgery

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