Robot-assisted oncologic pelvic surgery with HugoTM robot-assisted surgery system: A-center

Objective: To report the outcomes of intra-and extra-peritoneal robot-assisted radical prostatectomy (RARP) and robot-assisted radical cystectomy (RARC) with HugoTM robot-assisted surgery (RAS) system (Medtronic, Minneapolis, MN, USA).Methods: Data of twenty patients who underwent RARP and one RARC at our institution be-tween February 2022 and January 2023 were reported. The primary endpoint of the study was to report the surgical setting of HugoTM RAS system to perform RARP and RARC. The secondary endpoint was to assess the feasibility of RARP and RARC with this novel robotic platform and report the outcomes.Results: Seventeen patients underwent RARP with a transperitoneal approach, and three with an extraperitoneal approach; and one patient underwent RARC with intracorporeal ileal conduit. No intraoperative complications occurred. Median docking and console time were 12 (interquartile range [IQR] 7-16) min and 185 (IQR 177-192) min for transperitoneal RARP, 15 (IQR 12-17) min and 170 (IQR 162-185) min for extraperitoneal RARP. No intraoperative complications occurred. One patient submitted to extraperitoneal RARP had a urinary tract infection in the postoperative period that required an antibiotic treatment (Clavien-Dindo Grade 2). In case of transperitoneal RARP, two minor complications occurred (one pelvic hema-toma and one urinary tract infection; both Clavien-Dindo Grade 2).Conclusion: HugoTM RAS system is a novel promising robotic platform that allows to perform major oncological pelvic surgery. We showed the feasibility of RARP both intra-and extra-peritoneally and RARC with intracorporeal ileal conduit with this novel platform.