What question did this study set out to answer?

To evaluate the real-world outcomes and reproducibility of the Hugo™ Robotic-Assisted Surgery platform in colorectal surgery across multiple centers.

Multicenter international experience with the Hugo™ RAS platform in colorectal surgery: reproducibility and real-world outcomes from the COLOROBOT IBERICA study

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Multicenter retrospective analysis shows low complication rates and effective use of modular robotic surgery in colorectal procedures.

To evaluate the real-world outcomes and reproducibility of the Hugo™ Robotic-Assisted Surgery platform in colorectal surgery across multiple centers.
Conducted a multicenter retrospective analysis across six centers in Spain and Portugal.
Included 285 consecutive patients undergoing elective robotic colorectal surgery.
Analyzed demographic data, intraoperative variables, and postoperative outcomes.
Graded complications using the Clavien–Dindo classification.
Performed multivariable analyses to identify predictors of operative time and adverse outcomes.
Median operative time was 210 minutes with 1.1% conversion rate.
Overall postoperative complications occurred in 19.2%, with major complications at 8.0%.
Anastomotic leakage was noted in 5.6% of cases, and 4.5% required reintervention.
92% of cases had estimated blood loss of ≤ 500 mL.
Anticoagulation and neoadjuvant therapy were linked to increased morbidity.

Sánchez-Guillén et al. (2026) studied this question.

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