Transition from da Vinci to Versius robotic surgical system: initial experience and outcomes of over 100 consecutive procedures

Hussein, Ahmed A.; Mohsin, Rehan; Qureshi, Harris Hassan; Leghari, Riaz Ahmed; Jing, Zhe; Ramahi, Yousuf; Rizvi, Irfan; Guru, Khurshid A.; Rizvi, A

doi:10.1007/s11701-022-01422-9

Cited by 26 publications

(15 citation statements)

References 16 publications

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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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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

View full text Add to dashboard Cite

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“…A larger series was reported by investigators from Sindh Institute of Urology and Transplantation in Pakistan and Roswell Park Comprehensive Cancer Center. 34 A total of 106 procedures were done in total for both benign and malignant disorders of the upper tract and pelvic/lower urinary tract. Six of these procedures required conversion to open, and malfunction of the robotic arms occurred in two.…”

Section: Methodsmentioning

confidence: 99%

“…The Hugo RAS™ system (Medtronic, Minneapolis, MN, USA) includes an open console with two arm-controllers used with a pistol-like grip, and a footswitch that is used to control the camera, energy source, and reserve arm. 34 There are four independent arm carts, each of which has six joints to increase range of motion. It incorporates head tracking technology via specific three-dimensional (3D) glasses.…”

Section: Methodsmentioning

confidence: 99%

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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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“…Features and applications of energy devices for prone robot-assisted minimally invasive esophagectomy: a narrative review of the thoracic cavity, because robotic systems have stable high-resolution three-dimensional (3D) and 10 timesenlarged imaging, tremor filtering, articulated instruments, and natural hand-eye coordination axis (2). Thus, robotassisted surgery was recognized to be useful, providing precise lymphadenectomy with less bleeding (3).…”

Section: Review Articlementioning

confidence: 99%

Features and applications of energy devices for prone robot-assisted minimally invasive esophagectomy: a narrative review

Hirahara¹,

Matsubara²,

Hayashi³

et al. 2022

J Thorac Dis

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Background and Objective: Robot-assisted surgery is particularly useful in esophagectomy for esophageal cancer because robotic systems have high-resolution three-dimensional imaging, tremor filtering, and articulated instruments. This review article focuses on the applications and limitations of surgical devices in robot-assisted minimally invasive esophagectomy (RAMIE).Methods: A narrative search of Medline was performed for articles published using the keywords "robotassisted esophagectomy", "technique", "postoperative complication", and "short-term outcomes".Key Contents and Findings: Monopolar scissors: these devices with a sharp tip have an articulating function that allows for fast, sharp dissection without an electrical source. However, scissor-type devices cannot compress the organ, and their hemostatic ability is rather weak. Maryland bipolar forceps: the device has a very thin tip that allows for accurate dissection as well as stronger hemostatic ability by closing the forceps to compress tissues and applying electric current. The disadvantage is longer operation time because the forceps need to be constantly closed and reopened. Long Maryland bipolar grasper: the tip of the long Maryland bipolar grasper is slightly blunt and has the advantage of versatility because it can grip the tissue more delicately. Ultrasonic scalpel: the device can transect tissues speedily without bleeding, shortening operation time, but lacks articulating function. Although thermal spread to the surroundings is relatively narrow, activation time increases with the amount of tissue to be grasped; this raises the temperature above that of the vessel sealer. Vessel sealer: the device is one of the most powerful hemostatic energy devices, based on bipolar electrodes. The articulating jaws on both sides are more suited for sharp transection rather than meticulous dissection because of its powerful hemostatic force and blunt tip. It is also important to note that the vessel sealer produces widespread high-temperature steam. SynchroSeal: the device offers fast activation time, and due to the tip of the device being finely divided, which requires relatively precise manipulation.Conclusions: Robot-assisted surgery reduces the limitations of conventional endoscopic surgery by offering stable high-resolution three-dimensional imaging, tremor filtering, and articulated instruments. It is important to understand and exploit the advantages of energy devices suitable for RAMIE.

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Transition from da Vinci to Versius robotic surgical system: initial experience and outcomes of over 100 consecutive procedures

Cited by 26 publications

References 16 publications

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

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

Features and applications of energy devices for prone robot-assisted minimally invasive esophagectomy: a narrative review

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