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

<b>Background/Objectives:</b> Fully robotic pancreatic resections using the Hugo™ RAS platform have not yet been described in the literature. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusions:</b> Distal pancreatectomy with the Hugo RAS platform may be feasible and safe in selected cases.