V11-11 Hugo Ras Simple Prostatectomy Sec. Millin: Step by Step Surgical Procedure and Set Up in a Three Arms Configuration

You have accessJournal of UrologyBPH/Male Voiding Dysfunction/Infection/Misc. Imaging (V11)1 May 2024V11-11 HUGO RAS SIMPLE PROSTATECTOMY SEC. MILLIN: STEP BY STEP SURGICAL PROCEDURE AND SET UP IN A THREE ARMS CONFIGURATION Alberto Ragusa, Alessandro Rocca, Valerio Cavalli, Paolo Caccia, Gianluca Muto, Francesco Prata, Francesco Tedesco, Matteo Pira, Andrea Iannuzzi, Angelo Civitella, Roberto Mario Scarpa, Rocco Papalia, and Giovanni Muto Alberto RagusaAlberto Ragusa , Alessandro RoccaAlessandro Rocca , Valerio CavalliValerio Cavalli , Paolo CacciaPaolo Caccia , Gianluca MutoGianluca Muto , Francesco PrataFrancesco Prata , Francesco TedescoFrancesco Tedesco , Matteo PiraMatteo Pira , Andrea IannuzziAndrea Iannuzzi , Angelo CivitellaAngelo Civitella , Roberto Mario ScarpaRoberto Mario Scarpa , Rocco PapaliaRocco Papalia , and Giovanni MutoGiovanni Muto View All Author Informationhttps://doi.org/10.1097/01.JU.0001009368.07681.43.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Simple prostatectomy is indicated in patients with a large adenoma causing LUTS. In this modern robotic era, Robot Assisted Simple Prostatectomy (RASP) is wide spreading, and Hugo RAS by Medtronic is one of the main robotic platforms in the market. According to the configuration proposed by Medtronic, the four arms should be used simultaneously, with the bed assistant placed on the patient right side. In our experience, a simple three arms configuration, showed satisfactory outcomes. In the present video, we aim to show a step-by-step RASP according to Millin's technique, with an easy-friendly three arms configuration, useful to avoid clashing during procedure. METHODS: Between June and September 2023, two patients underwent RASP in two tertiary referral centers through Hugo RAS. The first 11 mm robotic port was placed on the midline, targeting the prostate, just below the umbilicus. Other two 8 mm robotic ports were placed under vision, on the same transversal line, 3-5 cm below the endoscope, 10-12 cm from the optic. Two bed assistant laparoscopic ports were placed on the same line, 3-5 cm above the endoscope. Preoperative data, tilt and docking angles are reported as follows: (Figure 1). Retzius space reaching, prostatic capsule visualization and incision, traction stitches, transurethral catheter clamping and dragging, trigonization, and prostatic capsula suturing, were key-steps of the procedure and they were widely illustrated in the provided video. RESULTS: EBL were negligible in both cases, console and docking time were satisfactory. In both cases a benign prostatic hyperplasia was reported after Histopathological evaluation. After 1 month from surgery, no urinary symptoms were reported. The abdominal drainage was removed on the second postoperative day. The patients were discharged on the day after both. The transurethral catheter was removed after 1 week. CONCLUSIONS: Hugo RAS System provided excellent outcomes with a simple three-arms configurations in these Simpe Prostatectomy according to Millin's technique.Further procedures are needed to standardize the best docking and tilt-angles for RASP through Hugo RAS. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e915 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Alberto Ragusa More articles by this author Alessandro Rocca More articles by this author Valerio Cavalli More articles by this author Paolo Caccia More articles by this author Gianluca Muto More articles by this author Francesco Prata More articles by this author Francesco Tedesco More articles by this author Matteo Pira More articles by this author Andrea Iannuzzi More articles by this author Angelo Civitella More articles by this author Roberto Mario Scarpa More articles by this author Rocco Papalia More articles by this author Giovanni Muto More articles by this author Expand All Advertisement PDF downloadLoading ...