{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:50:06Z","timestamp":1789710606753,"version":"4.0.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Open Access funding enabled and organized by Projekt DEAL"},{"DOI":"10.13039\/501100006254","name":"Ruhr-Universit\u00e4t Bochum","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006254","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The recently introduced Hugo RAS robotic platform has mostly been used for well standardized urologic and gynaecologic procedures. Experience with this new system in general surgery and especially in major colorectal surgery is very limited. This is a retrospective series of the first 25 consecutive non-selected colorectal surgeries performed at a single German center. The lessons learned from our initial experience are presented along with a systematic review of the currently available literature on this topic. Ten sigmoid and seven rectal resections, four right and one left hemicolectomies, two Hartmann\u2019s reversals and an abdominoperineal resection were performed in 14 women and 11 men at the median age of 66\u00a0years for 12 benign findings and 13 malignancies. All procedures were performed using four robotic ports and a single 12\u00a0mm assistant port. Median docking, console and total operative times were 12, 170 and 270\u00a0min. Median blood loss was &lt;\u2009100\u00a0ml, and median stay was 8\u00a0days. The literature review identified five case series with a total of 23 colorectal procedures: 9 right and 1 left hemicolectomies, 5 ileocaecal, and 4 rectal and 4 sigmoid resections. Results corresponded to ours despite variations in setup used by different authors. A wide spectrum of major colorectal surgery can be safely and effectively performed with the Hugo RAS, even in a cohort of non-selected patients. Ongoing software and hardware upgrade, introduction of robotic energy devices and increasing surgical experience are expected to facilitate procedures and reduce duration of surgery.<\/jats:p>","DOI":"10.1007\/s13304-024-01939-8","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T06:07:33Z","timestamp":1720505253000},"page":"1705-1714","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Major colorectal surgery with Hugo\u2122 RAS: initial experience of a German center and a review of the literature"],"prefix":"10.1007","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0595-2292","authenticated-orcid":false,"given":"Orlin","family":"Belyaev","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2178-6685","authenticated-orcid":false,"given":"Tim","family":"Fahlbusch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Illya","family":"Slobodkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7719-3192","authenticated-orcid":false,"given":"Wademar","family":"Uhl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"key":"1939_CR1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.15396","author":"A Gioe","year":"2024","unstructured":"Gioe A, Monterossi G, Alletti SG, Panico G, Campagna G, Costatini B et al (2024) The new robotic system HUGO RAS for gynecologic surgery: first European experience from Gemelli Hospital. Int J Gynaecol Obstet. https:\/\/doi.org\/10.1002\/ijgo.15396. (Online ahead of print)","journal-title":"Int J Gynaecol Obstet"},{"issue":"7","key":"1939_CR2","doi-asserted-by":"publisher","first-page":"2138","DOI":"10.3390\/jcm13072138","volume":"13","author":"F Prata","year":"2024","unstructured":"Prata F, Ragusa A, Tedesco F, Pira M, Iannuzzi A, Fantozzi M et al (2024) Trifecta outcomes of robot-assisted partial nephrectomy using the new HugoTM RAS system versus laparoscopic partial nephrectomy. J Clin Med 13(7):2138. https:\/\/doi.org\/10.3390\/jcm13072138","journal-title":"J Clin Med"},{"issue":"4","key":"1939_CR3","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1016\/j.euf.2023.01.008","volume":"9","author":"CA Bravi","year":"2023","unstructured":"Bravi CA, Paciotti M, Balestrazzi E, Piro A, Piramide F, Peraire M et al (2023) Outcomes of robot-assisted radical prostatectomy with the Hugo RAS surgical system: initial experience at a high-volume robotic center. Eur Urol Focus 9(4):642\u2013644. https:\/\/doi.org\/10.1016\/j.euf.2023.01.008","journal-title":"Eur Urol Focus"},{"issue":"3\u20134","key":"1939_CR4","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1159\/000531595","volume":"39","author":"O Belyaev","year":"2023","unstructured":"Belyaev O, Fahlbusch T, Slobodkin I, Uhl W (2023) Safety and feasibility of cholecystectomy with the Hugo\u2122 RAS: proof of setup guides and first-in-human German experience. Visc Med 39(3\u20134):76\u201386. https:\/\/doi.org\/10.1159\/000531595","journal-title":"Visc Med"},{"key":"1939_CR5","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1007\/s13304-023-01657-7","volume":"76","author":"M Raffaelli","year":"2024","unstructured":"Raffaelli M, Greco F, Pennestri F, Gallucci P, Ciccoritti L, Salvi G et al (2024) Robotic-assisted Roux-en-Y gastric bypass with the novel platform Hugo\u2122 RAS: preliminary experience in 15 patients. Updates Surg 76:179\u2013185. https:\/\/doi.org\/10.1007\/s13304-023-01657-7","journal-title":"Updates Surg"},{"issue":"6","key":"1939_CR6","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1080\/13645706.2023.2248243","volume":"32","author":"Y Mintz","year":"2023","unstructured":"Mintz Y, Pikarsky AJ, Brodie R, Elazary R, Helou B, Marom G (2023) Robotic inguinal hernia repair with the new Hugo RASTM system: first worldwide case series report. Minim Invasive Ther Allied Technol 32(6):300\u2013306. https:\/\/doi.org\/10.1080\/13645706.2023.2248243","journal-title":"Minim Invasive Ther Allied Technol"},{"key":"1939_CR7","doi-asserted-by":"publisher","DOI":"10.1002\/rcs.2544","volume":"19","author":"A Gangemi","year":"2023","unstructured":"Gangemi A, Bernante P, Rottoli M, Pasquali F, Poggioli G (2023) Surgery of the alimentary tract for benign and malignant disease with the novel robotic platform HugoTM RAS. A first world report of safety and feasibility. Int J Med Robot 19:e2544. https:\/\/doi.org\/10.1002\/rcs.2544","journal-title":"Int J Med Robot"},{"key":"1939_CR8","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-023-01489-5","author":"PP Bianchi","year":"2023","unstructured":"Bianchi PP, Salaj A, Rocco B, Formisano G (2023) First worldwide report on Hugo RAS\u2122 surgical platform in right and left colectomy. Updates Surg. https:\/\/doi.org\/10.1007\/s13304-023-01489-5. (Epub ahead of print)","journal-title":"Updates Surg"},{"issue":"12","key":"1939_CR9","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2023-256035","volume":"16","author":"R Caruso","year":"2023","unstructured":"Caruso R, Vicente E, Quijano Y, Ferri V (2023) New era of robotic surgery: first case in Spain of right hemicolectomy on Hugo RAS surgical platform. BMJ Case Rep 16(12):e256035. https:\/\/doi.org\/10.1136\/bcr-2023-256035","journal-title":"BMJ Case Rep"},{"issue":"4","key":"1939_CR10","doi-asserted-by":"publisher","first-page":"2160","DOI":"10.1007\/s00464-024-10760-8","volume":"38","author":"JM Romero-Marcos","year":"2024","unstructured":"Romero-Marcos JM, Sampson-Davila JG, Cuenca-Gomez C, Altet-Torne J, Gonzalez-Abos S, Ojeda-Jimenez I, Galaviz-Sosa ML, Delgado-Rivilla S (2024) Colorectal procedures with the novel HugoTM RAS system: training process and case series report from a non-robotic surgical team. Surg Endosc 38(4):2160\u20132168. https:\/\/doi.org\/10.1007\/s00464-024-10760-8","journal-title":"Surg Endosc"},{"key":"1939_CR11","doi-asserted-by":"publisher","DOI":"10.1111\/ans.18918","author":"D Caputo","year":"2024","unstructured":"Caputo D, Cammarata R, Farolfi T, Coppola R, La Vaccara V (2024) First worldwide report on rectal resections with HugoTM surgical system: description of docking angles and tips for an effective setup. ANZ J Surg. https:\/\/doi.org\/10.1111\/ans.18918. (Online ahead of print)","journal-title":"ANZ J Surg"}],"container-title":["Updates in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13304-024-01939-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s13304-024-01939-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13304-024-01939-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,5]],"date-time":"2024-10-05T13:06:11Z","timestamp":1728133571000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s13304-024-01939-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,9]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["1939"],"URL":"https:\/\/doi.org\/10.1007\/s13304-024-01939-8","relation":{},"ISSN":["2038-131X","2038-3312"],"issn-type":[{"value":"2038-131X","type":"print"},{"value":"2038-3312","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,9]]},"assertion":[{"value":"29 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"WU, TF and IS do not have any conflicts of interest. OB has received consultant and proctor honoraria from Medtronic.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interests"}},{"value":"All patients gave written informed consent for this observational study, which was approved by the Ethics Committee of the Ruhr University Bochum (Nr. 23\u20137872-BR). It was conducted in accordance with the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All participants provided informed consent prior to their participation.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}