Hugo™ RAS System

Clinical literature

The Hugo™ robotic-assisted surgery (RAS) system has been the topic of many peer-reviewed clinical studies, highlighting its application in surgical procedures. These studies offer insights into the system’s features and its role in the evolving field of robotic-assisted surgery.
General surgery clinical publications


Safety and feasibility of cholecystectomy with the Hugo™ RAS system: proof of setup guides and first in-human German experience
See a retrospective review of the first 14 cholecystectomy procedures with the Hugo™ RAS system at a center in Germany, focusing on the surgical setup details.


Robotic inguinal hernia repair with the new Hugo™ RAS system: first worldwide case series report
Read about the first reported case series of 10 inguinal hernia repair procedures with the Hugo™ RAS system, published in 2023 by a group in Jerusalem, Israel.


Robotic transversus abdominis release using Hugo™ RAS system: our initial experience
See the first consecutive case series on the use of the Hugo™ RAS system for transversus abdominis release (TAR) in hernia repair (n=10), published in 2024 by a group in Santiago, Chile.


Use of Hugo™ RAS system in general surgery: the first 70 cases at a German center and a systematic review of the literature
Find a retrospective review of 70 general surgery procedures (e.g., colorectal, cholecystectomy, and hernia repair procedures) performed with the Hugo™ RAS system at a center in Germany, with outcomes compared to published literature results.


Major colorectal surgery with Hugo™ RAS system: initial experience of a German center and a review of the literature
Read a retrospective review of the first 25 consecutive colorectal surgeries performed with the Hugo™ RAS system at a German center, with comparison to existing data via a systematic literature review.


Comparison between Da Vinci™* and Hugo™ RAS Roux-en-Y gastric bypass in bariatric surgery
View a propensity score matching analysis between the Hugo™ RAS system and Da Vinci™* of outcomes following Roux-en-Y gastric bypass procedures (n=45 per system).


Utility guideline and considerations for the novel Hugo™ RAS (robotic-assisted surgery) system in colorectal surgery: surgical outcomes and initial experience in a tertiary center
Read the first consecutive case series on the use of the Hugo™ RAS system for robotic-assisted colorectal procedures (n=40), published in 2024 by a group in Elche, Spain.


Cholecystectomy with the Hugo™ robotic-assisted surgery system: the first general surgery clinical study in Korea
Learn about the first prospective clinical study investigating the safety and feasibility of the Hugo™ RAS system in cholecystectomy procedures (n=20) in a Medtronic-sponsored trial conducted in Seoul, Republic of Korea.

Gynecology clinical publications


The new robotic system Hugo™ RAS for gynecologic surgery: first European experience from Gemelli hospital
Learn about the surgical setup and patient outcomes from a prospective single-center trial of robotic gynecological procedures (n=138) performed with Hugo™ RAS system in Rome, Italy.


The new surgical robot Hugo™ RAS for total hysterectomy: a pilot study
Read about a series of 20 consecutive total hysterectomy procedures with or without salpingo-oophorectomy for benign disease or prophylactic surgery with the Hugo™ RAS system in Rome, Italy.


First experience with the Hugo™ robot-assisted surgery system for endometriosis: a descriptive study
Review a retrospective case series of 12 gynecological procedures to treat endometriosis (total hysterectomy, ovarian cystectomy, etc.) performed with the Hugo™ RAS system in Copenhagen, Denmark.


Robotic docking time with the Hugo™ RAS system in gynecologic surgery: a procedure independent learning curve using the cumulative summation analysis (CUSUM)
View a study which reviews the learning curve of robotic docking for the first 192 gynecologic robotic cases performed as part of a prospective study in Rome, Italy.


The first 60 cases of robotic sacrocolpopexy with the novel Hugo™ RAS system: feasibility, setting and perioperative outcomes
Read about the surgical setup and patient outcomes from 60 cases of robotic sacrocolpopexy performed with the Hugo™ RAS system in Rome, Italy.


Initial experience of robotically assisted endometriosis surgery with a novel robotic system: first case series in a tertiary care center
See a retrospective study of radical endometriosis resection procedures (n=15) with the Hugo™ RAS system performed in Rome, Italy.


Clash of the Titans: the first multi-center retrospective comparative study between Da Vinci™* and Hugo™ RAS surgical systems for the treatment of deep endometriosis
Review a retrospective multicenter study comparing the Hugo™ RAS system and Da Vinci™* system following robotic gynecological procedures (n=36) for the treatment of deep endometriosis in Italy.

Urology clinical publications


Robot-assisted radical prostatectomy performed with different robotic platforms: first comparative evidence between Da Vinci™* and Hugo™ robot-assisted surgery robots
See a large retrospective study of robot-assisted radical prostatectomy procedures performed in Aalst, Belgium comparing the Hugo™ RAS system (n=164) and Da Vinci™* (n=378).


Extraperitoneal robot-assisted radical prostatectomy with the Hugo™ RAS system: initial experience of a tertiary center with a high background in extraperitoneal laparoscopy surgery
Read a cross-sectional study of robot-assisted extraperitoneal radical prostatectomy performed with the Hugo™ RAS system (n=16) in 2023 in Porto, Portugal.


Robot-assisted oncologic pelvic surgery with Hugo™ robot-assisted surgery system: a single-center experience
Explore the surgical setup and patient outcomes from robotic-assisted radical prostatectomy (n=20) and radical cystectomy (n=1) performed with the Hugo™ RAS system in Barcelona, Spain.


Trifecta outcomes of robot-assisted partial nephrectomy using the new Hugo™ RAS system versus laparoscopic partial nephrectomy
See trifecta outcomes of laparoscopic partial nephrectomy (n=62) versus robotic-assisted partial nephrectomy using the Hugo™ RAS system (n=27) in Rome, Italy.


Da Vinci™* and Hugo™ RAS platforms for robot-assisted partial nephrectomy: a preliminary prospective comparative analysis of the outcomes
View a prospective single-center study of trifecta outcomes following robot-assisted partial nephrectomy, comparing the Hugo™ RAS system (n=25) and Da Vinci™* system (n=25) in Madrid, Spain.


Da Vinci™* versus Hugo™ RAS for robot-assisted radical prostatectomy: a prospective comparative single-center study
Find a prospective single-center study of clinical outcomes following robot-assisted radical prostatectomy, comparing the Hugo™ RAS system (n=75) and Da Vinci™* system (n=75) in Madrid, Spain.


Robot-assisted radical prostatectomy with the Hugo™ robot-assisted surgery system: A single-center initial experience in Japan
Read about the surgical setup and patient outcomes from robotic-assisted radical prostatectomy (n=13) performed with the Hugo™ RAS system in Aichi, Japan.


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)
See a prospective study (COMPAR-P trial) of postoperative clinical and quality of life outcomes from consecutive radical prostatectomy cases comparing the Hugo™ RAS system (n=50) and da Vinci™* system (n=50) in Verona, Italy.

Additional clinical publications


Prior robotic console expertise may improve basic skills at the new Hugo™ RAS simulator: results from a cohort trial and implications for skill transference across platform
Read a cross-sectional study of 71 participants assessing the effects of demographics, video game use, and surgical experience on the “pick and place” exercise using the Hugo™ RAS simulator.

The Medtronic Hugo™ RAS system is commercially available in certain geographies. Regulatory requirements of individual countries and regions will determine approval, clearance, or market availability. In the EU, the Hugo™ RAS system is CE marked. In the US, the Hugo™ system is an investigational device not for sale.

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