Feasibility of robotic radical hysterectomy (RRH) with a new robotic system. Experience at Galaxy Care Laparoscopy Institute

Puntambekar, Shailesh; Goel, Arjun; Chandak, Shruti; Chitale, Mihir; Hivre, Mangesh; Chahal, Honey; Rajesh, K N; Manerikar, Kshitij

doi:10.1007/s11701-020-01127-x

Cited by 26 publications

(29 citation statements)

References 18 publications

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“…The system has been used in a preclinical setting, where multiple surgeons successfully performed prostate surgeries, renal surgeries, and pelvic lymph node dissection in cadavers and porcine models [ 33 ]. Furthermore, the completion of the first clinical series of gynecologic and upper gastrointestinal surgeries using the Versius surgical system in India was announced [ 34 ], and the first clinical report of 30 robotic radical hysterectomies was recently published [ 35 ].…”

Section: Methodsmentioning

confidence: 99%

Robotic surgical systems in urology: What is currently available?

Koukourikis

Rha

2021

Investig Clin Urol

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Robotic assistance in laparoscopic surgery was introduced at the turn of this millennium, marking a milestone in the history of surgery. Urologists were early adopters of robotic technology and the indications of robot-assisted surgery in urology are expanding. Over the last 20 years, the da Vinci surgical system was the dominant system in the robotic surgical market. However, the recent expiration of Intuitive patents has allowed new systems to enter the market more freely. We performed a nonsystematic literature review using the PubMed/MEDLINE search engines. The aim of this review was to briefly summarize the currently available robotic surgical systems for laparoscopic urologic surgery. New surgical devices have already been launched in the robotic market and the da Vinci systems have some competition. The innovation of robotic technology is continuing, and new features such as an openconsole design, haptic feedback, smaller instruments, and separately mounted robotic arms have been introduced. A new robotic era is rising, and new systems and technologies enhancing patient care are welcomed.

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Section: Methodsmentioning

confidence: 99%

Robotic surgical systems in urology: What is currently available?

Koukourikis

Rha

2021

Investig Clin Urol

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“…CMR Surgical (Cambridge, UK) developed the Versius robotic system, which has already been clinically applied and evaluated in general surgical, urological and gynecological procedures [125][126][127][128][129][130]. With its 5 mm diameter fully wristed instruments its application in pediatric surgery appears promising.…”

Section: New Robots For Childrenmentioning

confidence: 99%

Advances and Trends in Pediatric Minimally Invasive Surgery

Meinzer

Alkatout

Krebs

et al. 2020

JCM

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As many meta-analyses comparing pediatric minimally invasive to open surgery can be found in the literature, the aim of this review is to summarize the current state of minimally invasive pediatric surgery and specifically focus on the trends and developments which we expect in the upcoming years. Print and electronic databases were systematically searched for specific keywords, and cross-link searches with references found in the literature were added. Full-text articles were obtained, and eligibility criteria were applied independently. Pediatric minimally invasive surgery is a wide field, ranging from minimally invasive fetal surgery over microlaparoscopy in newborns to robotic surgery in adolescents. New techniques and devices, like natural orifice transluminal endoscopic surgery (NOTES), single-incision and endoscopic surgery, as well as the artificial uterus as a backup for surgery in preterm fetuses, all contribute to the development of less invasive procedures for children. In spite of all promising technical developments which will definitely change the way pediatric surgeons will perform minimally invasive procedures in the upcoming years, one must bear in mind that only hard data of prospective randomized controlled and double-blind trials can validate whether these techniques and devices really improve the surgical outcome of our patients.

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“…The Versius surgical robotic system was recently launched by Cambridge Medical Robotics (CMR) [20,21]. The ergonomic platform is equipped with an open console that permits the user to operate the device in a standing or sitting position, thus reducing stress and fatigue (Figure 1A,B).…”

Section: Introductionmentioning

confidence: 99%

“…According to Puntambekar and coworkers who evaluated the feasibility of the Versius system, its main advantage is the presence of individual robotic arms that actually mimic the laparoscopic arms. Since the robotic and laparoscopic port placements are identical, the device permits duplication of laparoscopic steps [20].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review

Alkatout

Salehiniya

Allahqoli

2022

JCM

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Background: Despite the superiority of minimal access surgery (MAS) over open surgery, MAS is difficult to perform and has a demanding learning curve. Robot-assisted surgery is an advanced form of MAS. The Versius® surgical robot system was developed with the aim of overcoming some of the challenges associated with existing surgical robots. The present study was designed to investigate the feasibility, clinical safety, and effectiveness of the Versius system in MAS. Materials and Methods: A comprehensive search was carried out in the Medline, Web of Science Core Collection (Indexes = SCI-EXPANDED, SSCI, A & HCI Timespan), and Scopus databases for articles published until February 2022. The keywords used were Versius robot, visceral, colorectal, gynecology, and urologic surgeries. Articles on the use of the Versius robot in minimal access surgery (MAS) were included in the review. Results: Seventeen articles were reviewed for the study. The investigation comprised a total of 328 patients who had been operated on with this robot system, of which 48.3%, 14.2%, and 37.5% underwent colorectal, visceral, and gynecological procedures, respectively. Postoperative and major complications within 30 days varied from 7.4% to 39%. No major complications and no readmissions or reoperations were reported in visceral and gynecological surgeries. Readmission and reoperation rates in colorectal surgeries were 0–9%. Some procedures required conversion to conventional laparoscopic surgery (CLS) or open surgery, and all procedures were completed successfully. Based on the studies reviewed in the present report, we conclude that the Versius robot can be used safely and effectively in MAS. Conclusions: A review of the published literature revealed that the Versius system is safe and effective in minimal access surgery. However, the data should be viewed with caution until randomized controlled trials (RCTs) have been performed. Studies on the use of this robotic system in oncological surgery must include survival as one of the addressed outcomes.

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Feasibility of robotic radical hysterectomy (RRH) with a new robotic system. Experience at Galaxy Care Laparoscopy Institute

Cited by 26 publications

References 18 publications

Robotic surgical systems in urology: What is currently available?

Robotic surgical systems in urology: What is currently available?

Advances and Trends in Pediatric Minimally Invasive Surgery

Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review

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