Development and Validation of the HUGO-SWAP Workflow for Single-Docking Robotic Colorectal Surgery

Takashi Nonaka, Shintaro Hashimoto, Tetsuro Tominaga, Mariko Yamashita, Hiroki Katayama, Yuma Takamura, Syun Yamaguchi, Toshiyuki Adachi, Yusuke Inoue, Keitaro Matsumoto, Department of Surgery, Colorectal Surgery, Nagasaki University Hospital, Minimally Invasive Surgery Center, Nagasaki University Hospital, Division of Surgical Oncology, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences

Surgical Innovation

Published online on May 11, 2026

Abstract

Surgical Innovation, Ahead of Print.
BackgroundIndependent-arm robotic systems offer flexible instrument assignment, but standardized colorectal workflows are limited. We developed the HUGO-SWAP workflow, a single-docking strategy enabling phase-specific instrument reassignment, and ...