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Proposal of set-up standardization for general surgery procedures with the CMR Versius system, a new robotic platform: our initial experience

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Abstract

Background

The article describes our initial experience using CMR Versius platform for several procedures in general surgery.

Methods

Between September 2022 and April 2023, seventy patients underwent robotic surgery in a multi-robotic referral center (San Paolo University Hospital, Milan, Italy). Three surgeons with only laparoscopic experience performed 24 cholecystectomies, 13 inguinal hernia repairs, 9 ventral hernia repairs, 7 right hemicolectomies, 11 left hemicolectomies, 1 sigmoidectomy, 1 ileocecal resection, 1 ventral rectopexy, 1 Nissen fundoplication, 1 total splenectomy, and 1 exploration with multiple biopsies.

Results

All surgeries were full-robotic, with only one conversion to laparoscopy. The short length of stay and low rate of severe morbidity are promising findings. Although operative time was lengthened, clinical outcomes were not affected.

Conclusions

Our experience demonstrates that the adoption of Versius system is safe and feasible in general surgery. The standardization of port placement and BSU set-up can certainly reduce the operative time.

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Data availability

The data that support the findings of this study are available from the corresponding authors upon reasonable request.

References

  1. Biondi A, Grosso G, Mistretta A, Marventano S, Toscano C, Gruttadauria S, Basile F (2013) Laparoscopic-assisted versus open surgery for colorectal cancer: short- and long-term outcomes comparison. J Laparoendosc Adv Surg Tech A 23(1):1–7

    Article  PubMed  PubMed Central  Google Scholar 

  2. Alkatout I, Salehiniya H, Allahqoli L (2022) Assessment of the Versius robotic rurgical system in minimal access surgery: a systematic review. J Clin Med 11:3754

    Article  PubMed  PubMed Central  Google Scholar 

  3. Ballantyne GH (2002) The pitfalls of laparoscopic surgery: challenges for robotics and telerobotic surgery. Surg Laparosc Endosc Percutaneous Tech 12:1–5

    Article  Google Scholar 

  4. Maeso S, Reza M, Mayol JA, Guerra M, Andradas E, Plana MN (2010) Efficacy of the da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg 252:254–262

    Article  PubMed  Google Scholar 

  5. Ishikawa N, Watanabe G, Inaki N, Moriyama H, Shimada M, Kawaguchi M (2012) The da Vinci surgical system versus the radius surgical system. Surg Sci 3:21150

    Article  Google Scholar 

  6. Alip SL, Kim J, Rha KH, Han WK (2022) Future platform of robotic surgery. Urol Clin N Am 49:23–38

    Article  Google Scholar 

  7. Haig F, Medeiros ACB, Chitty K, Slack M (2020) Usability assessment of Versius, a new robot-assisted surgical device for use in minimal access surgery. BMJ Surg Interv Health Technol 2:e000028

    Article  PubMed  PubMed Central  Google Scholar 

  8. El Dahdah J, Halabi M, Kamal J, Zenilman ME, Moussa H (2022) Initial experience with a novel robotic surgical system in abdominal surgery. J Robot Surg

  9. Wehrmann S, Tischendorf Mehlhorn T, Lorenz A, Gundekl M, Rudolph H, Mirow L (2023) Clinical implementation of the Versius robotic surgical system in visceral surgery- a single centre experience and review of the first 175 patients. Surg Endosc 37(1):528–534

    Article  PubMed  Google Scholar 

  10. Hares L, Roberts P, Marshall K, Slack M (2019) Using end-user feedback to optimize the design of the Versius surgical system, a new robot-assisted device for use in minimal access surgery. BMJ Surg Interv Health Technol 1:e000019

    Article  PubMed  PubMed Central  Google Scholar 

  11. Puntambekar SP, Goel A, Chandak S, Chitale M, Hivre M, Chahal H, Rajesh KN, Manerikar K (2021) Feasibility of robotic radical hysterectomy (RRH) with a new robotic system. Experience at Galaxy Care Laparoscopy Institute. J Robot Surg 15:451–456

    Article  PubMed  Google Scholar 

  12. Collins D, Paterson HM, Skipworth RJE, Speake D (2021) Implementation of the Versius robotic surgical system for colorectal cancer surgery: first clinical experience. Colorectal Dis 23:1233–1238

    Article  PubMed  Google Scholar 

  13. Butterworth J, Sadry M, Danielle Julian, Fiona Haig (2021) Assessment of training program for Versius, a new innovative robotic system for use in minimal access surgery. BMJ Surg Interv Health Technol 3:e000057

    Article  PubMed  PubMed Central  Google Scholar 

  14. Kelkar D, Borse MA, Godbole GP, Kurlekar U, Slack M (2021) Interim safety analysis of the first-in-human clinical trial of the Versius surgical system, a new robot-assisted device for use in minimal access surgery. Surg Endosc 35:5193–5202

    Article  PubMed  Google Scholar 

  15. Tejedor P, Sagias F, Khan JS (2020) The use of enhanced technologies in robotic surgery and its impact on outcomes in rectal cancer: a systematic review. Surg Innov 27:384–391

    Article  PubMed  Google Scholar 

  16. Prete FP, Pezzolla A, Prete F, Testini M, Marzaioli R, Patriti A et al (2018) Robotic versus laparoscopic minimally invasive surgery for rectal cancer: a systematic review and meta-analysis of randomized controlled trials. Ann Surg 267(6):1034–1046

    Article  PubMed  Google Scholar 

  17. Kelkar DS, Kurlekar U, Stevens L, Wagholikar GD, Slack M (2023) An early prospective clinical study to evaluate the safety and performance of the Versius surgical system in robot-assisted cholecystectomy. Ann Surg 277(1):9–17

    Article  PubMed  Google Scholar 

  18. Dixon F, Qureshi A, Vitish-Sharma P, Khanna A, Keeler BD (2022) Implementation of robotic hernia surgery using the Versius system. J Robot Surg

  19. Dixon F, O’Hara R, Ghuman N, Strachan J, Khanna A, Keeler BD (2021) Major colorectal resection is feasible using a new robotic surgical platform: the first report of a case series. Tech Coloproctol 25:285–289

    Article  CAS  PubMed  Google Scholar 

  20. Baur J, Ramser M, Keller N, Muysoms F, Dorfer J, Wiegering A, Eisner L, Dietz UA (2021) Robotic hernia repair II. English version: robotic primary ventral and incisional hernia (rv-TAPP and r-Rives or r-TARUP). Video report and results of a series of 118 patients. Chirurg 92(suppl 1):S15–S26

    Article  Google Scholar 

  21. Bhattacharya P, Phelan L, Fisher S, Hajibandeh S, Hajjbandeh S (2022) Robotic vs laparoscopic splenectomy in management of non-traumatic splenic pathologies: a systematic review and meta-analysis. Am Surg 88(I):38–47

    Article  PubMed  Google Scholar 

  22. Husher C, Marchegiani F, Cobellis F, Tejedor P, Pastor C, Lazzarin G, Wheeler J, Di Saverio S (2022) Robotic oncologic colorectal surgery with a new robotic platform (CMR Versius): hope or hipe? A preliminary experience from a full-robotic case-series. Tech Coloproctol 26:745–753

    Article  Google Scholar 

  23. Hussein AA, Mohsin R, Qureshi H, Leghari R, Jling Z, Ramahi YO, Rizvi I, Guru KA, Rizvi A (2023) Transition from da Vinci to Versius robotic surgical system: initial experience and outcomes of over 100 consecutive procedures. J Robot Surg 17(2):419–426

    Article  PubMed  Google Scholar 

  24. Dalager T, Jensen PT, Eriksen JR et al (2020) Surgeons’ posture and muscle strain during laparoscopic and robotic surgery. Br J Surg 107:756–766

    Article  CAS  PubMed  Google Scholar 

  25. Raimondi P, Marchegiani F, Cieri M et al (2018) Is right colectomy a complete learning procedure for a robotic surgical program? J Robot Surg 12:147–155

    Article  PubMed  Google Scholar 

  26. Dixon F, Khanna A, Vitish-Sharma P, Singh NS, Nakade K, Singh A, Qureshi A, O’Hara R, Keeler BD (2021) Initiation and feasibility of a multi-specialty minimally invasive surgical programme using a novel robotic system: a case series. Int J Surg 96:106182

    Article  PubMed  Google Scholar 

  27. Soumpasis I, Nashef S, Dunning J et al (2023) Safe implementation of a next-generation surgical robot: first analysis of 2,083 cases in the Versius surgical registry. Ann Surg 278(4):e903–e910

    Article  PubMed  Google Scholar 

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Funding

This article does not receive any financial support, and all authors have nothing to disclose.

Author information

Authors and Affiliations

  1. Division of General and Robotic Surgery, Department of Health Sciences, ASST Santi Paolo E Carlo, University of Milan, Milan, Italy

    Andrea Pisani Ceretti, Nicolò Maria Mariani, Marta Perego, Marco Giovenzana, Adelona Salaj, Giampaolo Formisano & Paolo Pietro Bianchi

  2. Division of General Surgery, Department of Clinical and Experimental Sciences, University of Brescia and Civili Hospital, Brescia, Italy

    Federico Gheza

  3. Division of Gynecology, Department of Health Sciences, ASST Santi Paolo E Carlo, University of Milan, Milan, Italy

    Gaia Gloria

  4. Division of Urology, Department of Health Sciences, ASST Santi Paolo E Carlo, University of Milan, Milan, Italy

    Rocco Bernardo

Authors
  1. Andrea Pisani Ceretti
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  2. Nicolò Maria Mariani
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  3. Marta Perego
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  4. Marco Giovenzana
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  5. Adelona Salaj
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  6. Giampaolo Formisano
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  7. Federico Gheza
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  8. Gaia Gloria
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  9. Rocco Bernardo
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  10. Paolo Pietro Bianchi
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Contributions

APC, NMM, and PPB: study conception and design; MG and AS: acquisition of data; FG, GF, and MP: analysis and interpretation of data; APC and NMM: drafting of manuscript; PPB, BR, and GG: critical revision of manuscript.

Corresponding authors

Correspondence to Andrea Pisani Ceretti or Nicolò Maria Mariani.

Ethics declarations

Ethics approval and consent to participate

Upon the Surgical Department Chief’s request, the Local Hospital Ethical Committee approved the introduction of the new robotic system and surgeon training. Each patient signed an informed consent and accepted that the intervention was recorded and used for scientific publication.

Competing interests

The authors declare no competing interests.

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Pisani Ceretti, A., Mariani, N.M., Perego, M. et al. Proposal of set-up standardization for general surgery procedures with the CMR Versius system, a new robotic platform: our initial experience. Langenbecks Arch Surg 409, 107 (2024). https://doi.org/10.1007/s00423-024-03291-2

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