Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RAS

IntroductionRobotic assisted surgery is a rapidly developing field of minimally invasive bariatric surgery in the last 20 years. Its wide diffusion has led to the development and standardization of robotic assisted approaches for bariatric operations. In this study, we present the first four Roux-en...

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Main Authors: Marco Raffaelli, Nikolaos Voloudakis, Francesco Pennestrì, Pierpaolo Gallucci, Cristina Modesti, Giulia Salvi, Francesco Greco, Luigi Ciccoritti
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1181790/full
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author Marco Raffaelli
Marco Raffaelli
Nikolaos Voloudakis
Nikolaos Voloudakis
Francesco Pennestrì
Francesco Pennestrì
Pierpaolo Gallucci
Cristina Modesti
Cristina Modesti
Giulia Salvi
Giulia Salvi
Francesco Greco
Luigi Ciccoritti
author_facet Marco Raffaelli
Marco Raffaelli
Nikolaos Voloudakis
Nikolaos Voloudakis
Francesco Pennestrì
Francesco Pennestrì
Pierpaolo Gallucci
Cristina Modesti
Cristina Modesti
Giulia Salvi
Giulia Salvi
Francesco Greco
Luigi Ciccoritti
author_sort Marco Raffaelli
collection DOAJ
description IntroductionRobotic assisted surgery is a rapidly developing field of minimally invasive bariatric surgery in the last 20 years. Its wide diffusion has led to the development and standardization of robotic assisted approaches for bariatric operations. In this study, we present the first four Roux-en-Y Gastric Bypass (RYGB) operations performed with the new Hugo™ RAS system (Medtronic, Minneapolis, MN, USA).MethodsIn January and February 2023, 4 consecutive patients scheduled for minimal invasive Roux-en-Y-Bypass were selected and underwent the procedure robotic-assisted with the new platform. No exclusion criteria were applied.ResultsFour patients, two females and two males, underwent RYGB with a median BMI of 40 Kg/m2 (range: 36–46) and diabetes mellitus in two cases. The median docking time was 8 min (range: 7–8.5) and the median console time was 127.5 min (range: 95–150). A description of the operating theatre, robotic arms and docking setup is provided. Procedures were performed without intraoperative complications and no conversion to laparoscopy or open surgery was noted. No additional ports were needed to be placed. System's function and docking were uneventful. No early post-operative complications were observed.ConclusionsBased on our initial experience, RYGB with the Hugo™ RAS system is feasible. This study provides the configurations necessary to perform RYGB with the Hugo™ RAS system as well as general information and insights from our preliminary experience.
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spelling doaj.art-3b779e92c4c8402889029b6fe36c04bb2023-06-05T04:46:11ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-06-011010.3389/fsurg.2023.11817901181790Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RASMarco Raffaelli0Marco Raffaelli1Nikolaos Voloudakis2Nikolaos Voloudakis3Francesco Pennestrì4Francesco Pennestrì5Pierpaolo Gallucci6Cristina Modesti7Cristina Modesti8Giulia Salvi9Giulia Salvi10Francesco Greco11Luigi Ciccoritti12U.O.C. Chirurgia Endocrina E Metabolica, Centro Dipartimentale Di Chirurgia Endocrina E Dell'Obesità, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyCentro di Ricerca in Chirurgia Delle Ghiandole Endocrine e Dell'Obesità, Università Cattolica del Sacro Cuore, Rome, ItalyU.O.C. Chirurgia Endocrina E Metabolica, Centro Dipartimentale Di Chirurgia Endocrina E Dell'Obesità, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyCentro di Ricerca in Chirurgia Delle Ghiandole Endocrine e Dell'Obesità, Università Cattolica del Sacro Cuore, Rome, ItalyU.O.C. Chirurgia Endocrina E Metabolica, Centro Dipartimentale Di Chirurgia Endocrina E Dell'Obesità, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyCentro di Ricerca in Chirurgia Delle Ghiandole Endocrine e Dell'Obesità, Università Cattolica del Sacro Cuore, Rome, ItalyU.O.C. Chirurgia Endocrina E Metabolica, Centro Dipartimentale Di Chirurgia Endocrina E Dell'Obesità, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyU.O.C. Anestesie Delle Chirurgie Generali e dei Trapianti, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyDipartimento di Scienze Biotecnologiche di Base, Cliniche Intensivologiche e Perioperatorie, Università Cattolica del Sacro Cuore, Rome, ItalyU.O.C. Chirurgia Endocrina E Metabolica, Centro Dipartimentale Di Chirurgia Endocrina E Dell'Obesità, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyCentro di Ricerca in Chirurgia Delle Ghiandole Endocrine e Dell'Obesità, Università Cattolica del Sacro Cuore, Rome, ItalyU.O.C. Chirurgia Endocrina E Metabolica, Centro Dipartimentale Di Chirurgia Endocrina E Dell'Obesità, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyU.O.C. Chirurgia Endocrina E Metabolica, Centro Dipartimentale Di Chirurgia Endocrina E Dell'Obesità, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, ItalyIntroductionRobotic assisted surgery is a rapidly developing field of minimally invasive bariatric surgery in the last 20 years. Its wide diffusion has led to the development and standardization of robotic assisted approaches for bariatric operations. In this study, we present the first four Roux-en-Y Gastric Bypass (RYGB) operations performed with the new Hugo™ RAS system (Medtronic, Minneapolis, MN, USA).MethodsIn January and February 2023, 4 consecutive patients scheduled for minimal invasive Roux-en-Y-Bypass were selected and underwent the procedure robotic-assisted with the new platform. No exclusion criteria were applied.ResultsFour patients, two females and two males, underwent RYGB with a median BMI of 40 Kg/m2 (range: 36–46) and diabetes mellitus in two cases. The median docking time was 8 min (range: 7–8.5) and the median console time was 127.5 min (range: 95–150). A description of the operating theatre, robotic arms and docking setup is provided. Procedures were performed without intraoperative complications and no conversion to laparoscopy or open surgery was noted. No additional ports were needed to be placed. System's function and docking were uneventful. No early post-operative complications were observed.ConclusionsBased on our initial experience, RYGB with the Hugo™ RAS system is feasible. This study provides the configurations necessary to perform RYGB with the Hugo™ RAS system as well as general information and insights from our preliminary experience.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1181790/fullHUGO™ RASRoux-en-Y Gastric Bypassrobotic surgeryminimal invasive surgeryRYGBbariatric surgery
spellingShingle Marco Raffaelli
Marco Raffaelli
Nikolaos Voloudakis
Nikolaos Voloudakis
Francesco Pennestrì
Francesco Pennestrì
Pierpaolo Gallucci
Cristina Modesti
Cristina Modesti
Giulia Salvi
Giulia Salvi
Francesco Greco
Luigi Ciccoritti
Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RAS
Frontiers in Surgery
HUGO™ RAS
Roux-en-Y Gastric Bypass
robotic surgery
minimal invasive surgery
RYGB
bariatric surgery
title Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RAS
title_full Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RAS
title_fullStr Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RAS
title_full_unstemmed Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RAS
title_short Feasibility of Roux-en-Y Gastric Bypass with the novel robotic platform HUGO™ RAS
title_sort feasibility of roux en y gastric bypass with the novel robotic platform hugo™ ras
topic HUGO™ RAS
Roux-en-Y Gastric Bypass
robotic surgery
minimal invasive surgery
RYGB
bariatric surgery
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1181790/full
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