Prostatectomia radical asistida por Robot HugoTM RAS con técnica Retzius-Sparing modificada: reporte de caso y experiencia incial

Background: currently, the state of robotic surgery in Mexico has shown significant growth in both nationwide availability and the number of certified surgeons. Today, more platforms are available, including the addition of Versius and Hugo™ RAS. Clinical case: a 64-year-old male with no significant chronic-degenerative history presented with elevated total prostate-specific antigen (PSA) of 30.20 ng/ml. A transrectal biopsy showed Gleason 6 (3+3). An 18F-PSMA PET-CT showed uptake at the base of the left lobe with SUVmax of 6.3 and in the peripheral zone of the right side at the mid-third with SUVmax of 7.8. There was no evidence of regional lymph node involvement or metastatic disease. A radical prostatectomy assisted by Hugo™ RAS was performed. Relevance & Discussion: we present a case of high-grade localized prostate cancer treated with a radical prostatectomy using a modified Retzius-sparing technique with the Hugo™ RAS robotic platform. This is a case report and technique description. Conclusion: it is feasible to perform minimally invasive techniques using the new robotic platform now available in Mexico for robot-assisted procedures, with comparable outcomes.