2025, Number 6
Docking of the Hugo™ RAS system in robotic radical prostatectomy: review of the literature and proposal
Full text
Language: Spanish
References: 10
Page: 1-7
PDF size: 757.20 Kb.
ABSTRACT
Introduction: the Hugo ™ RAS (Robotic-Assisted Surgery) system, developed by Medtronic, has emerged as an alternative for robotic surgery, particularly in radical prostatectomy. This review aims to analyze the current evidence about his docking to the patient.Methods: a review of the literature was conducted using Pub- Med, Scopus, and Web of Science, including studies published up to August 2025. Priority was given to prospective, comparative studies and systematic reviews reporting outcomes of Hugo™ RAS-assisted robotic radical prostatectomy.
Results: nineteen studies were included. Hugo RAS demonstrated comparable results to the Da Vinci system in terms of operative time, blood loss, functional recovery, and positive surgical margins. Some differences were noted in docking time and the learning curve.
Conclusion: Hugo™ RAS represents a promising robotic platform for radical prostatectomy in México. We propose schema of docking. Current evidence suggests comparable performance to the established standard, with potential advantages in cost and modularity.
REFERENCES
Gandi C, Marino F, Totaro A, Scarciglia E,Bellavia F, Bientinesi R, et al. PerioperativeOutcomes of Robotic Radical Prostatectomywith HugoTM RAS versus daVinci SurgicalPlatform: Propensity Score-MatchedComparative Analysis. Journal of ClinicalMedicine. 2024;13(11): 3157. https://doi.org/10.3390/jcm13113157.
Marino F, Moretto S, Rossi F, Bizzarri FP, GandiC, Filomena GB, et al. Robot-assisted RadicalProstatectomy with the Hugo RAS and da VinciSurgical Robotic Systems: A Systematic Reviewand Meta-analysis of Comparative Studies.European Urology Focus. 2025;11(2): 312–322.https://doi.org/10.1016/j.euf.2024.10.005.
Bravi CA, Paciotti M, Sarchi L, Mottaran A,Nocera L, Farinha R, et al. Robot-assistedRadical Prostatectomy with the Novel HugoRobotic System: Initial Experience and OptimalSurgical Set-up at a Tertiary Referral RoboticCenter. European Urology. 2022;82(2): 233–237.https://doi.org/10.1016/j.eururo.2022.04.029.
Residency Program in Urology at the Universityof Verona, Antonelli A, Veccia A, MalandraS, Rizzetto R, Artoni F, et al. Outcomesof da Vinci® versus Hugo RAS® radicalprostatectomy: focus on postoperative course,pathological findings, and patients’ healthrelatedquality of life after 100 consecutive cases(the COMPAR-P prospective trial). MinervaUrology and Nephrology. 2024;76(5). https://doi.org/10.23736/S2724-6051.24.05928-7.
Corona-Montes VE, Bailón-Chávez UG,Domínguez-Sandoval IS, Sánchez-Gilbert JE,Berber-Deseusa AD, Gómez-López RN, etal. Prostatectomia radical asistida por RobotHugoTM RAS con técnica Retzius-Sparingmodificada: reporte de caso y experiencia incial.Revista Mexicana de Urología. 2026;86(1): 1–9.https://doi.org/10.48193/jmzk5193.