Robot‐Assisted Radical Prostatectomy Using the Hugo RAS System: The First 15 Cases by a First‐Year Novice Surgeon Without Prior Console Experiences
Che‐Hsueh Yang, Daniela‐Viviana Barbulescu, Lucian Marian, Yuriy Aleksandrovich Kim, Chi‐Hsiang Wu, Ragavan Narasimhan, Yen‐Chuan Ou, Chi‐Chien LinABSTRACT
Background
No study has specifically addressed the initial supervised experience of novice surgeons using the Hugo RAS system.
Methods
We retrospectively reviewed patients with prostate cancer receiving robot‐assisted radical prostatectomy (RARP). Console time and blood loss were used as intraoperative variables, while oncological and functional outcomes were evaluated postoperatively.
Results
In the first 15 cases, both console time and blood loss showed a trend towards improvement as the novice surgeon gained experience using the Hugo RAS system for RARP. Regarding oncological and functional outcomes, 80% of patients achieved an undetectable PSA nadir, and 80% recovered urinary continence within 6 months after surgery.
Conclusion
Hugo RAS–assisted RARP was feasible during this supervised novice‐surgeon experience, with early adaptation in console time and blood loss. However, larger prospective studies with standardized outcome measures are needed to validate these findings.