First experience with the Hugo™ robot‐assisted surgery system for endometriosis: A descriptive study

医学 子宫内膜异位症 人口统计学的 失血 腹腔镜检查 外科 系统 腹腔镜手术 机械人手术 普通外科 内科学 人口学 社会学
作者
Rikke Groth Olsen,Dorthe Hartwell,Tórur Dalsgaard,Mette Madsen,Flemming Bjerrum,Lars Konge,Martin Andreas Røder
出处
期刊:Acta Obstetricia et Gynecologica Scandinavica [Wiley]
卷期号:103 (2): 368-377 被引量:3
标识
DOI:10.1111/aogs.14727
摘要

Abstract Introduction The Medtronic Hugo™ Robot‐assisted Surgery (RAS) system was recently approved for clinical use. We explored the safety and feasibility of this system for endometriosis surgery. The primary outcome was safe case completion without major surgical complications (Clavien–Dindo grade ≤2) and no conversion to open surgery or laparoscopy. Material and methods Surgeries for endometriosis performed at the Department of Gynecology, Rigshospitalet, on the Medtronic Hugo™ RAS system were included. Two experienced robotic surgeons performed all surgeries with their usual robotic team. The variables included were patient demographics, peri‐ and postoperative data, complications and 30‐day readmission rate. We used the IDEAL framework 1/2a for surgical innovation in this descriptive study. Results The first 12 patients were included. All cases were completed without intraoperative complications or conversion. Four patients experienced Clavien–Dindo grade 1 postoperative complications. No patients were re‐admitted within 30 days. Median docking time (17 minutes), console time (87.5 minutes), blood loss (40 mL) and length of hospital stay (1 day) were acceptable compared with previous literature. Conclusions In this pilot study, we found the Medtronic Hugo™ RAS system safe and feasible for robot‐assisted surgery for endometriosis. The advent of new robotic systems is welcomed to accelerate the development of technology that will advance surgical care for patients across the globe.
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