Docking of the HugoTM RAS system in robotic radical prostatectomy: review of the literature and proposal

Authors

DOI:

https://doi.org/10.48193/a1abm470

Keywords:

Hugo RAS, Robotic Surgery,, Radical Prostatectomy,, Prostate Cancer, , Minimally Invasive Surgery,

Abstract

Introduction: the Hugo TM RAS (Robotic-Assisted Surgery) system, developed by Medtronic, has emerged as an alternative for robotic surgery, particularly in radical prostatectomy. This review aims to analyze the current evidence about his docking to the patient.

Methods: a review of the literature was conducted using PubMed, Scopus, and Web of Science, including studies published up to August 2025. Priority was given to prospective, comparative studies and systematic reviews reporting outcomes of HugoTM RAS-assisted robotic radical prostatectomy.

Results: nineteen studies were included. Hugo RAS demonstrated comparable results to the Da Vinci system in terms of operative time, blood loss, functional recovery, and positive surgical margins. Some differences were noted in docking time and the learning curve. Conclusion: HugoTM RAS represents a promising robotic platform for radical prostatectomy in México. We propose schema of docking. Current evidence suggests comparable performance to the established standard, with potential advantages in cost and modularity.

Author Biography

  • Víctor Enrique Corona-Montes, Hospital Ángeles Acoxpa. Ciudad de México, México

    Dr. Víctor Enrique Corona Montes is a passionate surgeon specialized in oncological urology. Expert in diagnosis and treatments with minimally invasive surgery for prostate cancer, kidney cancer, bladder cancer and other urological conditions.

    He obtained the title of Doctor (UMSNH) and immediately completed a specialization in Urological Surgery (UNAM). In 2011, he travels to France to learn from the best Master in the field of minimally invasive urological surgery, Professor Richard Gaston, in Bordeaux, France. Dr. Corona performed around 800 robotic surgeries with his Master Gastón and returned to Mexico to open the first Robotic Surgery program in Mexico City in 2013 with a radical robot-assisted prostatectomy 8 years ago in Mexico.

    In 2015, he completed a second clinical fellowship in Oncological Urology (High Specialty) at the Fundació Puigvert in Barcelona, ​​Spain, this time under the tutelage of Professor Joan Palou Redorta, current director of the Fundació Puigvert.

    Currently, Dr. Corona is Deputy Director of Surgical Specialties at the General Hospital of Mexico, Founder and Head of the High Specialty Program in Laparoscopic and Robotic Surgery in Urology for UNAM (National Autonomous University of Mexico) and for Mexico, as well as member of the Academic Committee of Urology, of the same University.

    Ex-Coordinator of the Laparoscopy and Endourology Section of the Mexican Society of Urology (S.M.U.) between 2013-2016 and Ex- Coordinator of Urological Tumors of the Mexican Society of Oncology for the 2017-2019 cycle (SMeO)

    Author of numerous national and international scientific publications (articles, book chapters), as well as lecturer, trainer (IRCAD France and Brazil), speaker at the international level. He is constantly updated after taking Oncology courses at the Universities of Tampa and Chicago, as well as an active participant in the Oncology Urology Symposia at Mont Sinai Hospital in New York.

    In addition to sharing experiences with their students and their classmates. He has 3 master's degrees, one in Administration of Health Institutions, (U. Anáhuac), one in History of Medicine from the Descartes University of Paris and a Master's in Education from the Tecnológica University. He also has a specialty in Corporate Health and Wellness (U. Anáhuac) and a Doctorate in Senior Management (CEPEM).

    He is fluent in 5 languages ​​and is currently studying one more.

References

Patel Vr, Thaly R, Shah K. Robotic radical prostatectomy: outcomes of 500 cases. BJU international. 2007;99(5). https://doi.org/10.1111/j.1464-410X.2007.06762.x.

Diana P, Gaya JM, Territo A, Gallioli A, Uleri A, Huguet J, et al. Robotic-assisted radical prostatectomy with the HUGO RAS system. European Urology Open Science. 2022;44: S370.

Gandi C, Marino F, Totaro A, Scarciglia E, Bellavia F, Bientinesi R, et al. Perioperative Outcomes of Robotic Radical Prostatectomy with HugoTM RAS versus daVinci Surgical Platform: Propensity Score-Matched Comparative Analysis. Journal of Clinical Medicine. 2024;13(11): 3157. https://doi.org/10.3390/jcm13113157.

Marino F, Moretto S, Rossi F, Bizzarri FP, Gandi C, Filomena GB, et al. Robot-assisted Radical Prostatectomy with the Hugo RAS and da Vinci Surgical Robotic Systems: A Systematic Review and Meta-analysis of Comparative Studies. European Urology Focus. 2025;11(2): 312–322. https://doi.org/10.1016/j.euf.2024.10.005.

Bravi CA, Paciotti M, Sarchi L, Mottaran A, Nocera L, Farinha R, et al. Robot-assisted Radical Prostatectomy with the Novel Hugo Robotic System: Initial Experience and Optimal Surgical Set-up at a Tertiary Referral Robotic Center. European Urology. 2022;82(2): 233–237. https://doi.org/10.1016/j.eururo.2022.04.029.

Residency Program in Urology at the University of Verona, Antonelli A, Veccia A, Malandra S, Rizzetto R, Artoni F, et al. Outcomes of da Vinci® versus Hugo RAS® radical prostatectomy: focus on postoperative course, pathological findings, and patients’ health-related quality of life after 100 consecutive cases (the COMPAR-P prospective trial). Minerva Urology and Nephrology. 2024;76(5). https://doi.org/10.23736/S2724-6051.24.05928-7.

Dell’Oglio P, Tappero S, Maltzman O, Olivero A, Secco S, Di Trapani D, et al. Does Retzius-Sparing robot-assisted radical prostatectomy guarantee optimal urinary continence recovery across all ages? Prostate Cancer and Prostatic Diseases. 2025;28(1): 226–228. https://doi.org/10.1038/s41391-023-00784-x.

Corona-Montes VE, Bailón-Chávez UG, Domínguez-Sandoval IS, Sánchez-Gilbert JE, Berber-Deseusa AD, Gómez-López RN, et al. Prostatectomia radical asistida por Robot HugoTM RAS con técnica Retzius-Sparing modificada: reporte de caso y experiencia incial. Revista Mexicana de Urología. 2026;86(1): 1–9. https://doi.org/10.48193/jmzk5193.

Veccia A, Malandra S, Montanaro F, Pettenuzzo G, De Marco V, Antonelli A. Mirrored port placement for robotic radical prostatectomy with the Hugo RASTM System: initial experience. Minerva Urology and Nephrology. 2024;76(2). https://doi.org/10.23736/S2724-6051.23.05597-0.

Andrade Gm, Lau C, Olivares R, Duarte Ik, Teles Sb, Gavassa Fp, et al. Implementation of Robot-assisted Urologic Surgeries Using Hugo RAS System in a High-volume Robotic ‘Da Vinci Xi’ Center: Outcomes and Initial Experience. Urology. 2024;192. https://doi.org/10.1016/j.urology.2024.06.052.

Downloads

Published

2026-02-05

Issue

Vol. 85 No. 6 (2025): November-December

Section

Review articles

License

Copyright (c) 2026 Revista Mexicana de Urología

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.