{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:20:17Z","timestamp":1788963617512,"version":"build-2803163510"},"reference-count":16,"publisher":"Galenos Yayinevi","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facts Views Vis ObGyn"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>Background: Minimally invasive surgery is the gold standard treatment for deep endometriosis when medical management fails. In selected cases, such as when bowel or urinary tract are involved, robotic assisted surgery can be useful due to its characteristics of high dexterity and manoeuvrability. This is the first case of robotic en-bloc excision of posterior compartment deep endometriosis performed with the new HugoTM RAS system.\n\nObjective: The purpose of this video article is to show for the first time the feasibility of bowel surgery for deep endometriosis with this new robotic device.\n\nMaterials and methods: A 24-years-old woman affected by severe dysmenorrhea, chronic pelvic pain, dyschezia and dyspareunia underwent to deep endometriosis excision using the new robotic platform HugoTM RAS system at the Unit of Gynaecological Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.\n\nMain outcome measures: Intraoperative data, docking set up, post-operative outcomes up to three months follow up were evaluated.\n\nResults: The surgical procedure was carried out without intra-operative or post-operative complications, operative time (OT) was 200 minutes, while docking time was 8 minutes. No system errors or faults in the robotic arms were registered. Post-operative complete disease-related symptoms relief was reported.\n\nConclusion: According to our results, the introduction of this new robotic platform in the surgical management of deep endometriosis seems to be feasible, especially in advanced cases. However, further studies are needed to demonstrate the benefits of this surgical system and the advantages of robotic surgery compared to laparoscopy in this subset of patients.<\/jats:p>","DOI":"10.52054\/fvvo.14.5.104","type":"journal-article","created":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T11:34:40Z","timestamp":1704713680000},"page":"359-362","source":"Crossref","is-referenced-by-count":13,"title":["En-block butterfly excision of posterior compartment deep endometriosis: The first experience with the new surgical robot Hugo\u2122 RAS"],"prefix":"10.52054","volume":"15","author":[{"given":"M","family":"Pavone","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Goglia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Campolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Scambia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.M.","family":"Ianieri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2023,12]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Ercoli A, Bassi E, Ferrari S et al. Robotic-assisted conservative excision of retrocervical-rectal deep Infiltrating Endometriosis: A case series. J. Minim Invasive Gynecol. 2017;24:863\u20138.","DOI":"10.1016\/j.jmig.2017.03.011"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Fanfani F, Fagotti A, Gagliardi ML et al. Discoid or segmental rectosigmoid resection for deep infiltrating endometriosis: a case-control study. Fertil Steril. 2010;94:444\u20139.","DOI":"10.1016\/j.fertnstert.2009.03.066"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Giudice LC. Clinical practice. Endometriosis. N Engl J Med. 2010;362:2389\u201398.","DOI":"10.1056\/NEJMcp1000274"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Gueli Alletti S, Chiantera V, Arcuri G et al. Introducing the new surgical robot HUGO\u2122 RAS: System description and docking settings for gynecological surgery. Front Oncol. 2022;12:898060.","DOI":"10.3389\/fonc.2022.898060"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Ianieri MM, Buca DIP, Panaccio P et al. Retroperitoneal endometriosis in postmenopausal woman causing deep vein thrombosis: case report and review of the literature. Clin Exp Obstet Gynecol. 2017;44:148\u201350.","DOI":"10.12891\/ceog3306.2017"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Luu TH, Uy-Kroh MJ. New Developments in Surgery for Endometriosis and Pelvic Pain. Clin Obstet Gynecol. 2017;60:245\u201351.","DOI":"10.1097\/grf.0000000000000282"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Marchand G, Taher Masoud A, Ware K et al. Systematic review and meta-analysis of all randomized controlled trials comparing gynecologic laparoscopic procedures with and without robotic assistance. Eur J Obstet Gynecol Reprod Biol. 2021;265:30\u20138.","DOI":"10.1016\/j.ejogrb.2021.07.038"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Monterossi G, Pedone Anchora L, Gueli Alletti S et al. The first European gynaecological procedure with the new surgical robot Hugo\u2122 RAS. A total hysterectomy and salpingo-oophorectomy in a woman affected by BRCA-1 mutation. Facts Views Vis ObGyn. 2022;14:91\u20134.","DOI":"10.52054\/fvvo.14.1.014"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Nezhat FR, Sirota I. Perioperative outcomes of robotic assisted laparoscopic surgery versus conventional laparoscopy surgery for advanced-stage endometriosis. JSLS. 2014;18:e2014.00094.","DOI":"10.4293\/jsls.2014.00094"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Panico G, Campagna G, Caramazza D et al. HUGO TM RAS System in urogynaecology: the first nerve sparing Sacral Colpopexy for Pelvic Organ Prolapse. Facts Views Vis ObGyn. 2023;15:83\u20137.","DOI":"10.52054\/fvvo.15.1.054"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Peters BS, Armijo PR, Krause C et al. Review of emerging surgical robotic technology. Surg Endosc. 2018;32:1636\u201355.","DOI":"10.1007\/s00464-018-6079-2"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Raffaelli M, Gallucci P, Voloudakis N et al. The new robotic platform Hugo TM RAS for lateral transabdominal adrenalectomy: a first world report of a series of five cases. Updat Surg. 2023;75:217\u201325.","DOI":"10.1007\/s13304-022-01410-6"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Remorgida V, Ferrero S, Fulcheri E et al. Bowel endometriosis: presentation, diagnosis, and treatment. Obstet Gynecol Surv. 2007;62:461\u201370.","DOI":"10.1097\/01.ogx.0000268688.55653.5c"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Restaino S, Mereu L, Finelli A et al. Robotic surgery vs laparoscopic surgery in patients with diagnosis of endometriosis: a systematic review and meta-analysis. J Robot Surg. 2020;14:687\u201394.","DOI":"10.1007\/s11701-020-01061-y"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Soto E, Luu TH, Liu X et al. Laparoscopy vs. Robotic surgery for endometriosis (LAROSE): a multicenter, randomized, controlled trial. Fertil Steril. 2017;107:996-1002.e3.","DOI":"10.1016\/j.fertnstert.2016.12.033"},{"key":"ref15","unstructured":"Weed JC, Ray JE. Endometriosis of the bowel. Obstet Gynecol. 1987;69:727\u201330."}],"container-title":["Facts, Views and Vision in ObGyn"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T05:55:42Z","timestamp":1739512542000},"score":1,"resource":{"primary":{"URL":"https:\/\/fvvo.eu\/articles\/doi\/FVVO.14.5.104\">10.52054"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":16,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,12]]},"published-print":{"date-parts":[[2023,12]]}},"URL":"https:\/\/doi.org\/10.52054\/fvvo.14.5.104","relation":{},"ISSN":["2684-4230","2032-0418"],"issn-type":[{"value":"2684-4230","type":"electronic"},{"value":"2032-0418","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}