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Organo Oficial de la Sociedad Mexicana de Urología

2026, Number 1

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Rev Mex Urol 2026; 86 (1)

Robot-assisted radical prostatectomy with HugoTM RAS using a modified Retzius-Sparing technique: case report and initial experience

Corona-Montes VE, Bailón-Chávez UG, Domínguez-Sandoval IS, Sánchez-Gilbert JE, Berber-Deseusa AD, Gómez-López RN, Rosas-Nava JE

Language: Spanish
References: 12
Page: 1-9
PDF size: 733.51 Kb.


ABSTRACT

Background: currently, the state of robotic surgery in Mexico has shown significant growth in both nationwide availability and the number of certified surgeons. Today, more platforms are available, including the addition of Versius and Hugo™ RAS.
Clinical case: a 64-year-old male with no significant chronic-degenerative history presented with elevated total prostate-specific antigen (PSA) of 30.20 ng/ml. A transrectal biopsy showed Gleason 6 (3+3). An 18F-PSMA PET-CT showed uptake at the base of the left lobe with SUVmax of 6.3 and in the peripheral zone of the right side at the midthird with SUVmax of 7.8. There was no evidence of regional lymph node involvement or metastatic disease. A radical prostatectomy assisted by Hugo™ RAS was performed.
Relevance & Discussion: we present a case of high-grade localized prostate cancer treated with a radical prostatectomy using a modified Retzius-sparing technique with the Hugo™ RAS robotic platform. This is a case report and technique description.
Conclusion: it is feasible to perform minimally invasive techniques using the new robotic platform now available in Mexico for robot-assisted procedures, with comparable outcomes.


REFERENCES

  1. 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.

  2. Takahara K, Motonaga T, Nakamura W, SarutaM, Nukaya T, Takenaka M, et al. Robot-assistedradical prostatectomy with the HugoTM robotassistedsurgery system: A single-center initialexperience in Japan. Asian Journal of EndoscopicSurgery. 2024;17(3): e13342. https://doi.org/10.1111/ases.13342.

  3. Ragavan N, Bharathkumar S, Chirravur P,Sankaran S. Robot-Assisted LaparoscopicRadical Prostatectomy Utilizing Hugo RASPlatform: Initial Experience. Journal ofEndourology. 2023;37(2): 147–150. https://doi.org/10.1089/end.2022.0461.

  4. Totaro A, Scarciglia E, Marino F, CampetellaM, Gandi C, Ragonese M, et al. Robot-AssistedRadical Prostatectomy Performed with theNovel Surgical Robotic Platform HugoTM RAS:Monocentric First Series of 132 Cases ReportingSurgical, and Early Functional and OncologicalOutcomes at a Tertiary Referral Robotic Center. Cancers. 2024;16(8): 1602. https://doi.org/10.3390/cancers16081602.

  5. Ou YC, Ou HC, Juan YS, Narasimhan R, MottrieA, Weng WC, et al. Robot-assisted radicalprostatectomy using hugo RAS system: Thepioneer experience in Taiwan and NortheastAsia. The international journal of medical robotics+ computer assisted surgery: MRCAS. 2023;e2577. https://doi.org/10.1002/rcs.2577.

  6. Alfano CG, Moschovas MC, Montagne V, SotoI, Porter J, Patel V, et al. Implementation andoutcomes of Hugo(TM) RAS System in roboticassistedradical prostatectomy. InternationalBraz J Urol: Official Journal of the Brazilian Societyof Urology. 2023;49(2): 211–220. https://doi.org/10.1590/S1677-5538.IBJU.2023.9902.

  7. Shepherd A, Jaffer A, Bruce A, Chia D,Dasgupta P, Challacombe B. Early clinicalevaluation of the Hugo robotic-assisted surgery(RAS) for performing radical prostatectomy: anIDEAL stage 2 study. BMJ surgery, interventions,& health technologies. 2025;7(1): e000360.https://doi.org/10.1136/bmjsit-2024-000360.

  8. Ou HC, Marian L, Li CC, Juan YS, TungMC, Shih HJ, et al. Robot-Assisted RadicalProstatectomy by the Hugo Robotic-AssistedSurgery (RAS) System and the da Vinci System:A Comparison between the Two Platforms.Cancers. 2024;16(6): 1207. https://doi.org/10.3390/cancers16061207.

  9. Martini A, Falagario UG, Villers A, Dell’OglioP, Mazzone E, Autorino R, et al. ContemporaryTechniques of Prostate Dissection forRobot-assisted Prostatectomy. EuropeanUrology. 2020;78(4): 583–591. https://doi.org/10.1016/j.eururo.2020.07.017.

  10. Menon M, Dalela D, Jamil M, Diaz M, TallmanC, Abdollah F, et al. Functional Recovery,Oncologic Outcomes and PostoperativeComplications after Robot-Assisted RadicalProstatectomy: An Evidence-Based AnalysisComparing the Retzius Sparing and StandardApproaches. The Journal of Urology. 2018;199(5):1210–1217. https://doi.org/10.1016/j.juro.2017.11.115.

  11. Nyarangi-Dix JN, Görtz M, Gradinarov G,Hofer L, Schütz V, Gasch C, et al. Retziussparingrobot-assisted laparoscopic radicalprostatectomy: functional and early oncologicresults in aggressive and locally advancedprostate cancer. BMC urology. 2019;19(1): 113.https://doi.org/10.1186/s12894-019-0550-9.

  12. Corona-Montes VE, Barzallo-Sánchez JL,Sánchez-Núñez JE, Gómez-López RN, Pérez-García A. Prostatectomía radical asistida porrobot con abordaje Retzius-Sparing vs. Frankfurtmodificado: comparación de resultados a 1 añode seguimiento. Cirugía y Cirujanos. 2023; 12607.https://doi.org/10.24875/CIRU.23000355.




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