ArticleJournal of medical case reports2025
First robot-assisted radical prostatectomy using Hugo™ robotic-assisted surgery system in a post-kidney transplant patient: a case report.
Article in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Robot-assisted urologic surgery after kidney transplantation: indications, graft-protection strategies, and outcomes-a scoping review.Journal of robotic surgery · 2026Article
- Robot-Assisted Radical Prostatectomy in Solid Organ Transplant Recipients: Initial Experience and Systematic Review.Cancers · 2026Article
- Hugo™ RAS for robot-assisted radical prostatectomy: outcomes from a consecutive single-center study at a Hugo-exclusive institution.Journal of robotic surgery · 2026Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundRobot-assisted radical prostatectomy in kidney transplant recipients presents unique technical challenges owing to anatomical alterations. However, Hugo™ robotic-assisted surgery system, with its independently mounted robotic arms, may offer advantages in such complex cases. Herein, we report the first case of robot-assisted radical prostatectomy using a Hugo robotic-assisted surgery system in a post-kidney transplant patient. CASE PRESENTATION: A 55-year-old Japanese male with a history of ABO-incompatible living donor kidney transplantation was diagnosed with high-risk prostate cancer (cT2bN0M0, Gleason score 4 + 4 = 8) at 1-year post-transplant. Robot-assisted radical prostatectomy was performed using a Hugo robotic-assisted surgery system. Despite encountering dense adhesions that led to inadvertent cystotomy during prevesical dissection, the procedure was completed within 336 minutes and with blood loss of 50 mL. Postoperative course was uneventful, with stable renal function, and pathological examination revealed a pT2bN0M0 adenocarcinoma with negative surgical margins.
conclusionThis case demonstrates the technical feasibility of Hugo robotic-assisted surgery system for radical prostatectomy in kidney transplant recipients. This offers practical insights into overcoming anatomical challenges post-transplantation, and may inform broader applications of complex pelvic procedures in this population.
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