ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2025
Splenic flexure resection with Hugo™ RAS: Trocar placement, docking settings, and surgical strategy.
Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robotic versus laparoscopic resection for transverse colon and splenic flexure cancer: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Robot-assisted surgery for colorectal cancer using the Hugo™ RAS system: an observational study with the initial 118 cases and a literature review.Surgery today · 2026Article
- A systematic literature review of colorectal robotic surgery with the Hugo robotic-assisted surgery (RAS) system: feasibility, safety, and clinical applications.Annals of coloproctology · 2026Review
- Review
- Splenic flexure resection with Hugo™ RAS: Trocar placement, docking settings, and surgical strategy.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRobotic surgery has been widely adopted in colorectal surgery worldwide over the last decade, but it is still associated with significant cost. With the recent introduction of new robotic platforms, several studies reported the feasibility of different surgical procedures using newer robotic platforms. This study aims to present the first case series of colonic splenic flexure resection with the novel platform robotic-assisted surgery (RAS) Hugo™. Tips for effective setup of the system and detailed configuration of tilt and docking angles are also provided.
methodsThree cases of colonic splenic flexure resection with Hugo RAS™ system are reported. OR setup and port placement allowing for a full robotic resection were used to perform vascular ligation, colonic splenic flexure mobilization, and side-to-side linear intracorporeal anastomosis, without the need for re-docking.
resultsMean docking time was 11 (range 8-14) minutes and the median total operating time was 243 (range 180-350) minutes. Mean estimated blood loss was 116 (range 50-300) mL. No intraoperative complications or conversions were observed. One patient developed postoperative pneumonia.
conclusionsTotal robotic splenic flexure resection with Hugo™ RAS system is feasible with good postoperative outcomes. Further studies are needed to confirm our results and to evaluate the surgical strategy and setup.
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