The feasibility of robot-assisted radical cystectomy: an experimental study

Peteinaris, Angelis; Kallidonis, Panagiotis; Tsaturyan, Arman; Pagonis, Konstantinos; Faitatziadis, Solon; Gkeka, Kristiana; Vagionis, Athanasios; Natsos, Anastasios; Obaidat, Mohammed; Anaplioti, Eirini; Tatanis, Vasileios; Vrettos, Theofanis; Liatsikos, Evangelos

doi:10.1007/s00345-022-04266-y

Cited by 8 publications

(4 citation statements)

References 26 publications

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“…Two joystick hand controllers with straps and finger clutches Six-foot pedals for electrosurgery, camera and instrument switch Eyepiece designed to leave ears and mouth uncovered Instruments: Single use (except reusable endoscope), 5mm. Only bipolar available currently Ergonomics : Built-in ergonomic chair, adjustable settings, stereoscopic eyepiece with headrest, ears “free” for communicating Vision: 3D stereoscopic magnified view QXGA resolution (2048 × 1536px), overlay information on instruments, electrosurgery usage, statuses, and alarms Portability: Easily moved by one person between rooms through standard doors Additional highlights : Next generation in development The current system is very quiet within the OR due to no external fans Modular training is available for the whole team with VR, Dry and wet (animal) lab Proctors available for onsite training with performance evaluation Virtual reality : In system simulation available Stage 1 Supporting evidence: Stage 0: Feasibility of robotic bilateral nephrectomy and radical cystectomy live porcine models [ 85 , 86 ] Pending 2b: A current multicentre trial is running and registered on ISRCTN45854742 Mantra Surgical Robotic System, M/S. Sudhir, Srivastava Innovations (SSI) PVT.…”

Section: Resultsmentioning

confidence: 99%

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Evaluation status of current and emerging minimally invasive robotic surgical platforms

Boal,

Di Girasole,

Tesfai

et al. 2023

Surg Endosc

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Background The rapid adoption of robotics within minimally invasive surgical specialties has also seen an explosion of new technology including multi- and single port, natural orifice transluminal endoscopic surgery (NOTES), endoluminal and “on-demand” platforms. This review aims to evaluate the validation status of current and emerging MIS robotic platforms, using the IDEAL Framework. Methods A scoping review exploring robotic minimally invasive surgical devices, technology and systems in use or being developed was performed, including general surgery, gynaecology, urology and cardiothoracics. Systems operating purely outside the abdomen or thorax and endoluminal or natural orifice platforms were excluded. PubMed, Google Scholar, journal reports and information from the public domain were collected. Each company was approached via email for a virtual interview to discover more about the systems and to quality check data. The IDEAL Framework is an internationally accepted tool to evaluate novel surgical technology, consisting of four stages: idea, development/exploration, assessment, and surveillance. An IDEAL stage, synonymous with validation status in this review, was assigned by reviewing the published literature. Results 21 companies with 23 different robotic platforms were identified for data collection, 13 with national and/or international regulatory approval. Of the 17 multiport systems, 1 is fully evaluated at stage 4, 2 are stage 3, 6 stage 2b, 2 at stage 2a, 2 stage 1, and 4 at the pre-IDEAL stage 0. Of the 6 single-port systems none have been fully evaluated with 1 at stage 3, 3 at stage 1 and 2 at stage 0. Conclusions The majority of existing robotic platforms are currently at the preclinical to developmental and exploratory stage of evaluation. Using the IDEAL framework will ensure that emerging robotic platforms are fully evaluated with long-term data, to inform the surgical workforce and ensure patient safety. Graphical abstract

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Section: Resultsmentioning

confidence: 99%

“…Stage 0: Feasibility of robotic bilateral nephrectomy and radical cystectomy live porcine models [ 85 , 86 ]…”

Section: Resultsmentioning

confidence: 99%

Evaluation status of current and emerging minimally invasive robotic surgical platforms

Boal,

Di Girasole,

Tesfai

et al. 2023

Surg Endosc

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“…While no clinical series have been published to date, feasibility studies of robot-assisted radical nephrectomy and radical cystectomy with ileal neobladder using this novel system in a porcine model were recently published. 51 , 52 In an SWOT (strengths, weaknesses, opportunities, threats) analysis looking at the projected market costs of this system, Liatsikos et al 53 calculated that the elimination of sterilization costs of instruments could potentially translate into a cost reduction of €800–900 for a standard radical prostatectomy in Greece.…”

Section: Methodsmentioning

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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“…It features a closed surgeon console unit and a robotic cart with four arms that use disposable 5 mm diameter instruments [ 43 ]. Initial studies undertaking six RARC with intracorporeal urinary diversion and six radical nephrectomies, respectively, in anaesthetised live porcine models reported no mechanical issues or major complications encountered [ 44 , 45 ].…”

Section: Avateramentioning

confidence: 99%

The Availability, Cost, Limitations, Learning Curve and Future of Robotic Systems in Urology and Prostate Cancer Surgery

Hughes

Rai

Madaan

et al. 2023

JCM

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Robot-assisted surgical systems (RASS) have revolutionised the management of many urological conditions over the last two decades with robot-assisted radical prostatectomy (RARP) now being considered by many to be the preferred surgical approach. Intuitive Surgical has dominated the market during this time period with successive iterations of the da Vinci model. The expiration of patents has opened the RASS market and several new contenders have become available or are currently in development. This comprehensive narrative review aims to explore the merits of each robotic system as well as the evidence and barriers to their use. The newly developed RASS have increased the versality of robotic surgical systems to a wider range of settings through advancement in technology. The increased competition may result in an overall reduction in cost, broadening the accessibility of RASS. Learning curves and training remain a barrier to their use, but the situation appears to be improving through dedicated training programmes. Outcomes for RARP have been well investigated and tend to support improved early functional outcomes. Overall, the rapid developments in the field of robot-assisted surgery indicate the beginning of a promising new era to further enhance urological surgery.

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The feasibility of robot-assisted radical cystectomy: an experimental study

Cited by 8 publications

References 26 publications

Evaluation status of current and emerging minimally invasive robotic surgical platforms

Evaluation status of current and emerging minimally invasive robotic surgical platforms

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

The Availability, Cost, Limitations, Learning Curve and Future of Robotic Systems in Urology and Prostate Cancer Surgery

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