Robot‐Assisted Radical Prostatectomy Using the Hugo RAS System: The First 15 Cases by a First‐Year Novice Surgeon Without Prior Console Experiences

BACKGROUND: No study has specifically addressed the initial supervised experience of novice surgeons using the Hugo RAS system. METHODS: We retrospectively reviewed patients with prostate cancer receiving robot-assisted radical prostatectomy (RARP). Console time and blood loss were used as intraoperative variables, while oncological and functional outcomes were evaluated postoperatively. RESULTS: In the first 15 cases, both console time and blood loss showed a trend towards improvement as the novice surgeon gained experience using the Hugo RAS system for RARP. Regarding oncological and functional outcomes, 80% of patients achieved an undetectable PSA nadir, and 80% recovered urinary continence within 6 months after surgery. CONCLUSION: Hugo RAS-assisted RARP was feasible during this supervised novice-surgeon experience, with early adaptation in console time and blood loss. However, larger prospective studies with standardized outcome measures are needed to validate these findings.