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Session: New Technology Abstract Session (NON CME)

NT1 - First Clinical Experience with the Novel Hugo RAS Robotic System for Colorectal Surgery: 36 procedures

Monday, June 3, 2024
4:17 PM – 4:20 PM ET, USA
Location: Room 314-317

    Abstract Podium Presenter(s)

  • VENKATESH MUNIKRISHNAN, MRCS FRCS CCT (he/him/his)

    CONSULTANT COLORECTAL & ROBOTIC SURGEON
    INSTITUTE OF COLORECTAL SURGERY, APOLLO HOSPITALS CHENNAI
    CHENNAI, Tamil Nadu, India

    All relevant financial disclosures have been managed and will be listed below.
    This individual has no financial relationships with ineligible companies.

    • Author(s)

  • SS

    Sudeepta Kumar Swain, MS(Surgery), DNB(Surgical Gastroenterology)

    Head of the Department
    Apollo hospital, Chennai
    Chennai, Tamil Nadu, India

    Disclosure information not submitted.

  • GJ

    Gilbert Samuel Jebakumar, n/a

    Registrar in Surgical Gastroenterology, Apollo Hospitals , Greams road, Chennai
    Apollo hospitals, chennai
    Chennai, Tamilnadu, Tamil Nadu, India

    Disclosure information not submitted.

  • SS

    Sumanth Srivatsan, n/a

    Surgical registrar
    Apollo hospital Greams road Chennai
    Chennai, Tamil Nadu, India

    Disclosure information not submitted.

Purpose/Background: Robotic surgery has been widely adopted for surgical treatment of colorectal diseases with good clinical outcomes but with limitations of higher cost and longer operating time. More recently newer robotic platforms have become available for clinical practice to address some of the challenges with established robotic systems. The Medtronic HUGO RAS robotic platform is a novel open console, modular robotic system which has recently been approved for General and Colorectal Surgery. The aim of the study was to evaluate the feasibility and safety of the HUGO robotic platform for Colorectal surgery. We present the first clinical experience in the world with this robotic system for colorectal surgery.

Methods/Interventions: This prospective observational study included all colorectal surgeries performed with the HUGO RAS system from December 2021 to August 2023. The study assessed the technical capability of the robotic system, safety, complications, duration of surgery, cost compared to existing robotic systems, conversion rates and clinical outcomes.

Results/Outcomes: Our study included 36 colorectal procedures which included Right Hemicolectomy (N = 15), Low Anterior Resection (N = 10), Abdominoperineal Resection (N = 2) and Ventral Mesh Rectopexy(N = 9). The average docking time was 23 minutes with mean procedure time of 300 minutes and console time of 170 minutes for LAR/APR. Complete resection margins were achieved in 100% of the colorectal malignancy cases. There were no conversions to open. There were no procedure or robot specific complications in this group. The per procedure cost was approximately 25% percent less compared to established robotic surgical platforms.

Conclusion/Discussion: The HUGO RAS robotic platform is an open console with modular arms that can be easily maneuvered around the operating table, facilitating improved access to multiple quadrants during surgery. Our initial experience in various colorectal procedures with the novel HUGO RAS robotic platform does not appear inferior to established Robotic systems in terms of surgical and oncological outcomes. The HUGO RAS robotic platform is a stable and safe robotic system for use in colorectal surgical procedures at a lower cost per procedure compared to established robotic surgical platforms.