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Peer-reviewedCC BYThe international journal of medical robotics + computer assisted surgery : MRCAS

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 Yang1,2,3
  • Daniela-Viviana Barbulescu4
  • Lucian Marian5
  • Yuriy Aleksandrovich Kim6
  • Chi-Hsiang Wu1
  • Ragavan Narasimhan7
  • Yen-Chuan Ou8
  • Chi-Chien Lin2,3,9
9 affiliations
  1. 1Department of Urology, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan.
  2. 2Doctoral Program in Translational Medicine, National Chung Hsing University, Taichung, Taiwan.
  3. 3Rong Hsing Translational Medicine Research Center, National Chung Hsing University, Taichung, Taiwan.
  4. 4Department of Medical Oncology, ONCOHELP Hospital, Timisoara, Romania.
  5. 5Department of Urology, "Pius Brînzeu" County Emergency Clinical Hospital, Timisoara, Romania.
  6. 6Department of Urology, Botkin Hospital, Moscow, Russia.
  7. 7Departments of Urology, Apollo Hospitals, Chennai, India.
  8. 8Department of Surgery, Division of Urology, Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan.
  9. 9Institute of Biomedical Science, The iEGG and Animal Biotechnology Center, National Chung Hsing University, Taichung, Taiwan.
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Abstract

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.

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Cite

BibTeXRIS
BibTeX
@article{yang2026robotassisted,
  title = {{Robot-Assisted Radical Prostatectomy Using the Hugo RAS System: The First 15 Cases by a First-Year Novice Surgeon Without Prior Console Experiences.}},
  author = {Che-Hsueh Yang and Daniela-Viviana Barbulescu and Lucian Marian and Yuriy Aleksandrovich Kim and Chi-Hsiang Wu and Ragavan Narasimhan and Yen-Chuan Ou and Chi-Chien Lin},
  journal = {The international journal of medical robotics + computer assisted surgery : MRCAS},
  year = {2026},
  month = nov,
  doi = {10.1002/rcs.70249},
  url = {https://europepmc.org/article/MED/42969321},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Robot-Assisted Radical Prostatectomy Using the Hugo RAS System: The First 15 Cases by a First-Year Novice Surgeon Without Prior Console Experiences.
AU  - Che-Hsueh Yang
AU  - Daniela-Viviana Barbulescu
AU  - Lucian Marian
AU  - Yuriy Aleksandrovich Kim
AU  - Chi-Hsiang Wu
AU  - Ragavan Narasimhan
AU  - Yen-Chuan Ou
AU  - Chi-Chien Lin
PY  - 2026
DA  - 2026/11/03
JO  - The international journal of medical robotics + computer assisted surgery : MRCAS
DO  - 10.1002/rcs.70249
UR  - https://europepmc.org/article/MED/42969321
AB  - 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.
SN  - 1478-5951
SN  - 1478-596X
ER  -