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Robot-assisted sacropexy with the novel HUGO Robot-Assisted Surgery System : initial experience and surgical setup at a tertiary referral robotic center

Angelo Mottaran, Carlo Andrea Bravi, Luca Sarchi, Marco Paciotti, Luigi Nocera, Adele Piro, Pietro Piazza, Pieter De Backer (UGent) , Rui Farinha, Ruben De Groote, et al.
(2023) JOURNAL OF ENDOUROLOGY. 37(1). p.35-41
Author
Organization
Abstract
Introduction and Hypothesis: Robotic sacropexy (RSC) emerged in the last years as a valid alternative to the laparoscopic technique. However, the robotic approach is still limited by platform availability and concerns about cost-effectiveness. Recently, new robotic platforms joined the market, lowering the costs and offering the possibility to expand the robotic approach. The aim of our study was to demonstrate the technical feasibility and safety of the procedure with this new platform along with the description of our surgical setting.Materials and Methods: We reported data on the first five consecutive patients who underwent RSC at Onze Lieve Vrouw Hospital (Aalst, Belgium), performed with the novel HUGO (TM) Robot-Assisted Surgery (RAS) System. The platform consists of four fully independent carts, an open console, and a system tower equipped for both laparoscopic and robotic surgery. We collected patients' characteristics, intraoperative data, intraoperative complications, and clashes of instruments.Results: All procedures were completed according to the same surgical setting and technique. No need for conversion to open/laparoscopic surgery and/or for additional port placement was required. No intraoperative complications, instrument clashes, or system failure that compromised the surgery's completion were recorded. Median interquartile range docking, operative, and console time were 8 (6-9), 130 (115-165), and 80 (80-115) minutes, respectively.Conclusion: This series represents the first worldwide report of a robot-assisted sacropexy executed with the novel HUGO RAS System. Awaiting future investigation, this preliminary experience provides relevant data in terms of operative room settings and perioperative outcomes that might be helpful for future adopters of this platform.
Keywords
Urology, RSC, robot-assisted sacral colpopexy, robotic sacropexy, pelvic organ prolapse, RALSC, apical

Citation

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MLA
Mottaran, Angelo, et al. “Robot-Assisted Sacropexy with the Novel HUGO Robot-Assisted Surgery System : Initial Experience and Surgical Setup at a Tertiary Referral Robotic Center.” JOURNAL OF ENDOUROLOGY, vol. 37, no. 1, Mary Ann Liebert Inc, 2023, pp. 35–41, doi:10.1089/end.2022.0495.
APA
Mottaran, A., Bravi, C. A., Sarchi, L., Paciotti, M., Nocera, L., Piro, A., … Mottrie, A. (2023). Robot-assisted sacropexy with the novel HUGO Robot-Assisted Surgery System : initial experience and surgical setup at a tertiary referral robotic center. JOURNAL OF ENDOUROLOGY, 37(1), 35–41. https://doi.org/10.1089/end.2022.0495
Chicago author-date
Mottaran, Angelo, Carlo Andrea Bravi, Luca Sarchi, Marco Paciotti, Luigi Nocera, Adele Piro, Pietro Piazza, et al. 2023. “Robot-Assisted Sacropexy with the Novel HUGO Robot-Assisted Surgery System : Initial Experience and Surgical Setup at a Tertiary Referral Robotic Center.” JOURNAL OF ENDOUROLOGY 37 (1): 35–41. https://doi.org/10.1089/end.2022.0495.
Chicago author-date (all authors)
Mottaran, Angelo, Carlo Andrea Bravi, Luca Sarchi, Marco Paciotti, Luigi Nocera, Adele Piro, Pietro Piazza, Pieter De Backer, Rui Farinha, Ruben De Groote, Geert De Naeyer, and Alexandre Mottrie. 2023. “Robot-Assisted Sacropexy with the Novel HUGO Robot-Assisted Surgery System : Initial Experience and Surgical Setup at a Tertiary Referral Robotic Center.” JOURNAL OF ENDOUROLOGY 37 (1): 35–41. doi:10.1089/end.2022.0495.
Vancouver
1.
Mottaran A, Bravi CA, Sarchi L, Paciotti M, Nocera L, Piro A, et al. Robot-assisted sacropexy with the novel HUGO Robot-Assisted Surgery System : initial experience and surgical setup at a tertiary referral robotic center. JOURNAL OF ENDOUROLOGY. 2023;37(1):35–41.
IEEE
[1]
A. Mottaran et al., “Robot-assisted sacropexy with the novel HUGO Robot-Assisted Surgery System : initial experience and surgical setup at a tertiary referral robotic center,” JOURNAL OF ENDOUROLOGY, vol. 37, no. 1, pp. 35–41, 2023.
@article{01H6VYN2QBXGXQBY86KJ5XADB9,
  abstract     = {{Introduction and Hypothesis: Robotic sacropexy (RSC) emerged in the last years as a valid alternative to the laparoscopic technique. However, the robotic approach is still limited by platform availability and concerns about cost-effectiveness. Recently, new robotic platforms joined the market, lowering the costs and offering the possibility to expand the robotic approach. The aim of our study was to demonstrate the technical feasibility and safety of the procedure with this new platform along with the description of our surgical setting.Materials and Methods: We reported data on the first five consecutive patients who underwent RSC at Onze Lieve Vrouw Hospital (Aalst, Belgium), performed with the novel HUGO (TM) Robot-Assisted Surgery (RAS) System. The platform consists of four fully independent carts, an open console, and a system tower equipped for both laparoscopic and robotic surgery. We collected patients' characteristics, intraoperative data, intraoperative complications, and clashes of instruments.Results: All procedures were completed according to the same surgical setting and technique. No need for conversion to open/laparoscopic surgery and/or for additional port placement was required. No intraoperative complications, instrument clashes, or system failure that compromised the surgery's completion were recorded. Median interquartile range docking, operative, and console time were 8 (6-9), 130 (115-165), and 80 (80-115) minutes, respectively.Conclusion: This series represents the first worldwide report of a robot-assisted sacropexy executed with the novel HUGO RAS System. Awaiting future investigation, this preliminary experience provides relevant data in terms of operative room settings and perioperative outcomes that might be helpful for future adopters of this platform.}},
  author       = {{Mottaran, Angelo and Bravi, Carlo Andrea and Sarchi, Luca and Paciotti, Marco and Nocera, Luigi and Piro, Adele and Piazza, Pietro and De Backer, Pieter and Farinha, Rui and De Groote, Ruben and De Naeyer, Geert and Mottrie, Alexandre}},
  issn         = {{0892-7790}},
  journal      = {{JOURNAL OF ENDOUROLOGY}},
  keywords     = {{Urology,RSC,robot-assisted sacral colpopexy,robotic sacropexy,pelvic organ prolapse,RALSC,apical}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{35--41}},
  publisher    = {{Mary Ann Liebert Inc}},
  title        = {{Robot-assisted sacropexy with the novel HUGO Robot-Assisted Surgery System : initial experience and surgical setup at a tertiary referral robotic center}},
  url          = {{http://doi.org/10.1089/end.2022.0495}},
  volume       = {{37}},
  year         = {{2023}},
}
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