Robotic splenectomy with Hugo-Ras™ system: first worldwide report.

Robotic-assisted surgery has emerged as a transformative approach for different general surgery procedures, offering enhanced precision, dexterity, and ergonomics. Medtronic's Hugo-RAS™ enters the already extremely competitive field of robotic surgery, but while its use is fully implemented in other specialties, comprehensive clinical data regarding its application in general surgery are still lacking, and the spectrum of procedures in which it has been used remains limited. This article reports the first global experience of robotic splenectomy performed using the Hugo RAS™ system, performed by an experienced surgeon. A detailed description of trocar placement and the docking set-up is provided, along with a step-by-step overview of the surgical technique. No intra- or postoperative complications were observed. The intraoperative time was 155 min. The docking time of the four robotic arms lasted 12 min. The console time was 114 min. No fever, biochemical alterations, or any complication within 30 days, according to Clavien-Dindo occurred. No readmission was reported. Postoperative follow-up at 3 months revealed the clinical well-being of the patient. Robotic splenectomy can be safely performed with Hugo-RAS™, and it can be achieved with favorable intra- and postoperative outcomes, comparable to those available in the existing literature.