Robot-assisted Nissen fundoplication with the new HUGO™ Robotic assisted system: First worldwide report with system description, docking settings and video.

Background: Robotic surgery has gained worldwide acceptance over the past decade, with several studies showing that this technique is safe and feasible.
Methods: We describe the first robot-assisted Nissen fundoplication for hiatal hernia performed with the new Hugo™ RAS (Robotic assisted surgery) system (Medtronic, Minneapolis, MN, USA) in Spain. The innovation of this system is the open surgical console with a 3D-HD display, a system tower and four independent arm carts.
Results: The surgical procedures were completed without conversion. No intraoperative complications or technical failures of the system were recorded. The operative time was 97 min, the docking time was 3 min, and the length of hospital stay was three days.
Conclusions: This case report shows the safety and feasibility of Nissen fundoplication for hiatal hernia with the Hugo™ RAS system and provides relevant data that may assist early adopters of this surgical platform.
Competing Interests: Declaration of competing interest All authors are in agreement with the content of the manuscript. The manuscript has been read and approved by all named authors. We declare that this manuscript is original, has not been published before and is not currently being considered for publication elsewhere.
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