First Worldwide Report of a Total Colectomy with the Hugo RAS Platform

<b>Background</b>: Compared with the da Vinci platform, there is limited experience with the Hugo RAS^® platform for colorectal surgery in Europe. This difference is especially notable when considering complex procedures such as total colectomy. <b>Aim</b>: To demonstrate the feasibility and safety of using the Hugo RAS^® (Medtronic, Minneapolis, MN, USA) platform for total colectomy. Clinical case: An 18-year-old female patient with Familial Adenomatous Polyposis (FAP) and a BMI of 19 underwent a total colectomy with ileorectal anastomosis using the Hugo RAS^® platform. The procedure lasted 253 min without complications. The postoperative period was uneventful, and she was discharged from the hospital on the third postoperative day. <b>Conclusion</b>: The Hugo RAS^® platform is an emerging minimally invasive robotic that can be used even for total colectomy with proper patient selection. The placement and choice of arms and trocars were crucial to obtaining a similar operative time to the standard laparoscopic approach. The certification of Hugo's new instruments, such as energy devices and staplers, will make this platform even more competitive.