Unexpected Function in Treated Kidneys after RAPN and TAE.

What is it about?

The study aimed to describe the first experience and surgical setting for off-clamp RAPN with a three-arms configuration using the new Hugo RAS system. Between October 2022 and March 2023, 18 consecutive patients underwent off-clamp RAPN for renal tumour using the Hugo RAS system at the Campus Bio-Medico University. The surgical setting involved a modified extended flank position, pneumoperitoneum induction through the AirSeal system, and three robotic ports and two laparoscopic ports. The procedures were performed by a single surgeon with extensive experience in minimally invasive PN and the off-clamp technique through a conventional transperitoneal route. The study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board of Campus Bio-Medico University. No intraoperative complications occurred, and the median (IQR) console time was 100 (68-125) min.

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Why is it important?

This study is important because it describes the first experience with off-clamp robot-assisted partial nephrectomy (RAPN) using the new Hugo RAS system, which is a modular robotic platform with four independent arm-carts designed for improved ergonomics and customization in surgical procedures. This development aims to enhance the accessibility and cost-effectiveness of robot-assisted surgery (RAS) for a larger number of patients. The study's findings contribute to the growing body of knowledge on the application of the Hugo RAS system in urological procedures, particularly in robot-assisted partial nephrectomy, which is a core procedure in continuous evolution. The results of this study can help to inform future research and clinical practices, potentially improving patient outcomes and reducing complications in robot-assisted surgical procedures. Key Takeaways: 1. The study describes the first experience with off-clamp robot-assisted partial nephrectomy using the new Hugo RAS system. 2. The study found that off-clamp RAPN was successfully performed in 18 patients with renal masses, demonstrating the feasibility of the Hugo RAS system in this procedure. 3. The Hugo RAS system showed promise in providing improved ergonomics and customization in surgical procedures, potentially enhancing accessibility and cost-effectiveness of RAS for a larger number of patients. 4. Further research is needed to validate the findings and determine the long-term outcomes of using the Hugo RAS system in robot-assisted partial nephrectomy.