Einsatz des neuen Hugo Robotic-Assisted Surgery Systems in der onkologischen Oberbauchchirurgie: Erstbeschreibung einer transhiatalen Ösophagusresektion bei einem AEG Siewert Typ 2

摘要

In 2023, the Hugo robotic-assisted surgery system was introduced to the field of general and visceral surgery. The Hugo robotic-assisted surgery system promises to further improve robotic surgery, through its modularity, flexibility, and open console design. However, due to the novelty of the system, there is currently little experience in its clinical application.The case report describes a patient with an AEG Siewert type 2. The staging revealed the following tumour stage: uT3; uN1, cM0. After neoadjuvant chemotherapy (4 cycles of FLOT), oncologic resection was indicated. Due to the reduced lung function, the patient was considered for a transhiatal extended oesophageal resection. The operation was performed using the Hugo robotic-assisted surgery system with 4 robotic arms and 2 assistant trocars.The operation time was a total of 240 min. The histopathological examination of the resection specimen confirmed an R0 resection. The resection was performed with robotic assistance, while the reconstruction (double-tract reconstruction) was performed via a mini-laparotomy.Here, we describe for the first time the surgical procedure of distal transhiatal oesophagectomy using the Hugo robotic-assisted surgery system in a patient with an AEG Siewert type 2.