This video-article discusses a new four-arm configuration for renal surgery using the Hugo robotic-assisted surgery (RAS) system by Medtronic. The article highlights the benefits of a familiar port placement and endoscopic vision, which enhance surgical accessibility. The authors describe their experience with four cases, detailing the specific positioning of robotic trocars and ports for right and left kidney surgeries. The configuration allows for effective triangulation and excellent surgical approaches, even for surgeons with limited robotic experience. The surgeries were performed without complications, showcasing the effectiveness of the new configuration. Key metrics such as median docking time, console time, and blood loss are provided, demonstrating the efficiency of the approach. Overall, the article emphasizes the potential of this four-arm setup to simplify robotic renal surgery.
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