Robot-assisted Radical Prostatectomy with the Versius Robotic Surgical System: First Description of a Clinical Case

Rocco, Bernardo; Turri, Filippo; Sangalli, Mattia; Assumma, Simone; Piacentini, Igor; Grasso, Antonietta; Dell’Orto, P.; Calcagnile, Tommaso; Sarchi, Luca; Bozzini, Giorgio; Sighinolfi, Maria Chiara

doi:10.1016/j.euros.2022.11.019

Cited by 24 publications

(14 citation statements)

References 6 publications

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“…The use of the Versius system allowed manageable BPLND in patients considered at high risk of progression as assessed by validated nomograms [10,11]. The median (IQR) BPLND time reported in our case study of 19 (17)(18)(19)(20) min to perform BPLND was consistent with other series using other robotic platforms [31]. In patients who underwent BPLND, all nodes were negative at the pathology report.…”

Section: Discussionsupporting

confidence: 78%

“…Thomas et al [19] confirmed in a preclinical evaluation the feasibility of a RARP including BPLND in cadavers using the Versius system. Rocco et al [20] in their experience reported the first description of a clinical case of a patient who underwent RARP without BPLND. Reeves et al [21] reported a prospective evaluation of the Versius system in an Idea, development, exploration, assessment, long-term followup study (IDEAL) Stage 1/2a study in four RARPs, three pyeloplasty, and two nephrectomies.…”

Section: Discussionmentioning

confidence: 99%

“…Rocco et al. [20] in their experience reported the first description of a clinical case of a patient who underwent RARP without BPLND. Reeves et al.…”

Section: Discussionmentioning

confidence: 99%

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Versius robotic surgical system: case series of 18 robot‐assisted radical prostatectomies

De Maria,

Meneghetti,

Mosillo

et al. 2023

BJU International

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ObjectiveTo present the results of the first series of patients treated with robot‐assisted radical prostatectomy (RARP) with the use of the Versius® Surgical System (CMR Surgical Ltd., Cambridge, UK). RARP has demonstrated better perioperative outcomes compared to open RP. However, RARP remains limited by platform availability and cost‐effectiveness issues. The increasing competition from new robotic surgical platforms may further drive utilisation of the robotic approach.Patients and MethodsData were collected prospectively for our first 18 consecutive patients with localised prostate cancer who underwent RARP at our centre over a 3‐month period. We recorded parameters, including patient demographics and perioperative outcomes. We also report our optimised set‐up with regard to trocar placement, bedside unit placement, and overall composition of the operating room for this procedure. Describing the incremental modifications carried out to achieve reductions in set‐up and operating times to optimise utilisation of the Versius system.ResultsThe median (interquartile range [IQR]) set‐up time was 8.5 (7–10) min. The median (IQR) console time was 201 (170–242) min. The median (IQR) operative time was 213 (186–266) min. The median (IQR) total surgery time was 226 (201–277) min. Bilateral pelvic lymphadenectomy median (IQR) time was 19 (17–20) min. There were no complications and/or limitations related to the use of the Versius system including need for conversion. There were no relevant intra‐ or postoperative complications at the 1‐month follow‐up related to the use of the Versius system. Patients were discharged after a median (IQR) of 4 (3.75–5) days, and the transurethral catheter was removed after a mean (range) of 8 (7–14) days. Continence at 2 months was achieved in 72.2% of the patients.ConclusionsPerforming RARP using the Versius system is feasible, safe, and easily reproducible. Our set‐up enables a rapid docking approach and efficient completion of the surgery.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

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Versius robotic surgical system: case series of 18 robot‐assisted radical prostatectomies

De Maria,

Meneghetti,

Mosillo

et al. 2023

BJU International

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“…A systematic review by Alkatout et al analyzed the timeline of preclinical and clinical studies, which con rmed the feasibility and safety of the Versius platform [9]. Thereafter, the Versius has been used for cholecystectomy, general abdominal surgery, hernia repair, radical prostatectomy, and renal surgery [10][11][12][13][14][15]. We recently reported a detailed description of the Versius surgical management of pelvic organ prolapse, by using the Shull surgical technique [16].…”

Section: Discussionmentioning

confidence: 99%

Robotic excision of parametrial endometriosis with the new Versius robotic system: a preliminary case series.

Gaia,

Afonina,

Felline

et al. 2023

Preprint

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Purpose: Endometriosis affects 10% of the female population in reproductive age. Although a greater awareness of the condition and constant progress in understanding its natural history, its treatment remain challenging. When it comes to surgical intervention, the minimally invasive, laparoscopic, or robotic approach is the gold standard. While offering better visualization and refinement of movements, the robotic system is burdened by often unaffordable costs. Since the Da Vinci patent expired, new platforms have entered this scene, trying to preserve the advantages of robotics, while cutting costs. To date, there are no deep infiltrating endometriosis cases reported in literature afforded with the new Versius surgical system. Materials and methods: We considered prospectively 3 patients undergoing robotic surgery for parametrial endometriosis with the versius system, in our tertiary referral multiplatform robotic center. The surgical technique was described step by step. Demographics, intra-operative robotic events and peri-operative outcomes were collected. Results: A total of 3 procedures were performed. The median BMI was 18.52 kg/m 2, [16.33-20.96]. The median age was 41 years [36-51]. Median docking time was 51 minutes [37-60], median console time 180 [136-223] minutes. Pneumoperitoneum was maintained at 9 mmHg. A single high priority collision occurred. Blood loss was negligible. There were no peri-operative complications nor conversions. Conclusions: Versius appeared to be a safe and feasible option for deep infiltrating endometriosis surgery. Our experience suggests operative room configuration and port placement to better perform these challenging procedures. These suggestions may enhance the mini-invasiveness while beating costs and making robotics worldwide approachable.

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“…A few clinical reports on the clinical use of Versius for urologic applications have recently become available (Table 2). Rocco et al 35 reported the successful use of Versius for radical prostatectomy. Docking time was 30 min, console time was 130 min, and intraoperative disruption was limited to an alarming due to collision between the trocar and the patient's skin.…”

Section: Versiusmentioning

confidence: 99%

New multiport robotic surgical systems: a comprehensive literature review of clinical outcomes in urology

Salkowski,

Checcucci,

Chow

et al. 2023

Therapeutic Advances in Urology

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Over the past 20 years, the field of robotic surgery has largely been dominated by the da Vinci robotic platform. Nevertheless, numerous novel multiport robotic surgical systems have been developed over the past decade, and some have recently been introduced into clinical practice. This nonsystematic review aims to describe novel surgical robotic systems, their individual designs, and their reported uses and clinical outcomes within the field of urologic surgery. Specifically, we performed a comprehensive review of the literature regarding the use of the Senhance robotic system, the CMR-Versius robotic system, and the Hugo RAS in urologic procedures. Systems with fewer published uses are also described, including the Avatera, Hintori, and Dexter. Notable features of each system are compared, with a particular emphasis on factors differentiating each system from the da Vinci robotic system.

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Robot-assisted Radical Prostatectomy with the Versius Robotic Surgical System: First Description of a Clinical Case

Cited by 24 publications

References 6 publications

Versius robotic surgical system: case series of 18 robot‐assisted radical prostatectomies

Versius robotic surgical system: case series of 18 robot‐assisted radical prostatectomies

Robotic excision of parametrial endometriosis with the new Versius robotic system: a preliminary case series.

New multiport robotic surgical systems: a comprehensive literature review of clinical outcomes in urology

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