{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T03:41:24Z","timestamp":1792640484482,"version":"4.5.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T00:00:00Z","timestamp":1667520000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T00:00:00Z","timestamp":1667520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005743","name":"Universit\u00e0 Cattolica del Sacro Cuore","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005743","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Robotic assisted surgery is the most rapidly developing field of minimally invasive surgery. Its wide diffusion has led to the development and standardization of robotic-assisted approaches also for adrenalectomy. In this study, we present the first five robotic-assisted lateral transabdominal adrenalectomies performed with the new Hugo RAS\u2122 system (Medtronic, Minneapolis, MN, USA). After an official training course of the surgical team, five consecutive patients scheduled for unilateral adrenalectomy, underwent robotic-assisted operations in our institution. Patients that were candidates for partial adrenalectomy were excluded. A description of the operating theatre, robotic arms and docking setup is provided. Four female and one male patient underwent lateral transabdominal adrenalectomy, three for lesions on the left side and two on the right. Median lesion size was 3.9\u00a0cm (range: 30\u201390) and preoperative diagnosis was Cushing\u2019s syndrome in three patients, an adrenal cystic lesion and a pheochromocytoma. The median docking time was 5\u00a0min (range: 5\u20138) and the median console time was 55\u00a0min (range: 29\u2013108). Procedures were performed without intraoperative complications and no conversions or additional ports were needed. System\u2019s function and docking were uneventful. Based on our initial experience, adrenalectomy with the Hugo\u2122 system is feasible. This study provides technical notes for other centres that wish to perform robotic-assisted adrenalectomies with the Hugo\u2122 RAS as well as general information and our preliminary insights on this new platform.<\/jats:p>","DOI":"10.1007\/s13304-022-01410-6","type":"journal-article","created":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T18:04:13Z","timestamp":1667585053000},"page":"217-225","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":71,"title":["The new robotic platform Hugo\u2122 RAS for lateral transabdominal adrenalectomy: a first world report of a series of five cases"],"prefix":"10.1007","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1259-2491","authenticated-orcid":false,"given":"Marco","family":"Raffaelli","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7000-538X","authenticated-orcid":false,"given":"Pierpaolo","family":"Gallucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8316-4726","authenticated-orcid":false,"given":"Nikolaos","family":"Voloudakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0865-700X","authenticated-orcid":false,"given":"Francesco","family":"Pennestr\u00ec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5142-1313","authenticated-orcid":false,"given":"Roberto","family":"De Cicco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4137-7416","authenticated-orcid":false,"given":"Giovanni","family":"Arcuri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7303-9657","authenticated-orcid":false,"given":"Carmela","family":"De Crea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0844-3469","authenticated-orcid":false,"given":"Rocco","family":"Bellantone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,11,4]]},"reference":[{"key":"1410_CR1","first-page":"465","volume":"51","author":"L Piazza","year":"1999","unstructured":"Piazza L, Caragliano P, Scardilli M et al (1999) Laparoscopic robot-assisted right adrenalectomy and left ovariectomy (case reports). 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Prof. Marco Raffaelli, Drs. Pierpaolo Gallucci, Nikolaos Voloudakis, Francesco Pennestr\u00ec, Roberto De Cicco, Giovanni Arcuri and Profs Carmela De Crea and Rocco Bellantone have no conflicts of interest or financial ties to disclose regarding this work.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was performed in line with the principles of Declaration of Helsinki. Approval was granted by our Institutional Ethics Committee. This article does not contain any studies with animals performed by any of the authors.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants for whom identifying information is included in this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}}]}}