First Report of Hybrid Laparoscopic Hysterectomy Using the Hugo™ RAS System

Abstract Hybrid total laparoscopic hysterectomy combines conventional laparoscopic surgery and robot-assisted devices. During hybrid total laparoscopic hysterectomy, the camera and assistant forceps are operated by a robotic device, whereas the surgeon performs human procedures using a laparoscope. This enables surgery with a completely fixed field of view, thus significantly reducing errors in forceps grasping and needle misalignment. We created and implemented a new use for the Hugo™ robot-assisted surgery system, which consists of independent arms. This new technique involving new equipment can improve surgeon training and performance. We will continue to develop new techniques that can further improve surgical performance.