# Configurational Setup for Fully Robotic Distal Pancreatectomy with Splenectomy Using Hugo™ RAS and Ligasure™ RAS Maryland: First Case Report (With Video)

## TL;DR

This paper reports the first fully robotic distal pancreatectomy with splenectomy using the Hugo RAS platform and LigaSure RAS, demonstrating its feasibility and safety.

## Contribution

The first case report of a fully robotic distal pancreatectomy with splenectomy using the Hugo RAS and LigaSure RAS systems.

## Key findings

- The procedure was completed safely with minimal blood loss (<50 mL) and no complications.
- The total surgery duration was 305 minutes, with 195 minutes of console time.
- The patient had an uneventful recovery and was discharged on postoperative day 7.

## Abstract

Background/Objectives: Fully robotic pancreatic resections using the Hugo™ RAS platform have not yet been described in the literature. Methods: A 72-year-old male with a cystic lesion in the pancreatic tail underwent a fully robotic distal pancreatectomy and splenectomy using the Hugo RAS platform and the newly introduced robotic vessel sealer LigaSure RAS. The proposed configurational setup and technical details are described. Results: The procedure was completed safely without complications: blood loss was <50 mL, total duration of surgery was 305 min, and console time was 195 min. The postoperative period was uneventful, and the patient was discharged on postoperative day 7. Conclusions: Distal pancreatectomy with the Hugo RAS platform may be feasible and safe in selected cases.