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

Background/Objectives: Fully robotic pancreatic resections using the Hugo™ RAS platform haven’t 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 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 minutes, console time 195 minutes. The postoperative period was uneventful, and the patient discharged on postoperative day 7. Conclusions: Distal pancreatectomy with the Hugo RAS may be feasible and safe in selected cases.