World Journal of Urology

, Volume 36, Issue 4, pp 537–541 | Cite as

Robotic surgery: new robots and finally some real competition!

  • Pradeep P. Rao
Topic Paper



For the last 20 years, the predominant robot used in laparoscopic surgery has been Da Vinci by Intuitive Surgical. This monopoly situation has led to rising costs and relatively slow innovation. This article aims to discuss the two new robotic devices for laparoscopic surgery which have received regulatory approval for human use in different parts of the world.


A short description of the Senhance Surgical Robotic System and the REVO-I Robot Platform and their pros and cons compared to the Da Vinci system is presented.


A discussion about the differences between the three robotic systems now in the market is presented, as well as a short review of the present state of robotic assistance in surgery and where we are headed.


Robotics Robotic surgery REVO-I, ALF-X, Senhance New robots Minimally invasive surgery Laparoscopy Korean robot Da Vinci Competition Robotic urology 


Compliance with ethical standards

Conflict of interest

I have no conflicts of interest.

Animal and human participants

This article does not contain any studies with human participants or animals performed by the author.


  1. 1.
    Rassweiler JJ, Autorino R, Klein J, Mottrie A, Goezen AS, Stolzenburg JU, Rha KH, Schurr M, Kaouk J, Patel V, Dasgupta P, Liatsikos E (2017) Future of robotic surgery in urology. BJU Int 120(6):822–841. CrossRefPubMedGoogle Scholar
  2. 2.
    Cole AP, Trinh QD, Sood A, Menon M (2017) The rise of robotic surgery in the new millennium. J Urol 197(2S):S213–S215. CrossRefPubMedGoogle Scholar
  3. 3.
    Stolzenburg JU, Kyriazis I, Fahlenbrach C, Gilfrich C, Gunster C, Jeschke E, Popken G, Weissbach L, von Zastrow C, Leicht H (2016) National trends and differences in morbidity among surgical approaches for radical prostatectomy in Germany. World J Urol 34(11):1515–1520. CrossRefPubMedGoogle Scholar
  4. 4.
    Herrell SD, Webster R, Simaan N (2014) Future robotic platforms in urologic surgery: recent developments. Curr Opin Urol 24(1):118–126. CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Gidaro S, Buscarini M, Ruiz E, Stark M, Labruzzo A (2012) Telelap Alf-X: a novel telesurgical system for the 21st century. Surg Technol Int 22:20–25PubMedGoogle Scholar
  6. 6.
    Kim DK, Park DW, Rha KH (2016) Robot-assisted partial nephrectomy with the REVO-i robot platform in porcine models. Eur Urol 69(3):541–542. CrossRefPubMedGoogle Scholar
  7. 7.
    Bozzini G, Gidaro S, Taverna G (2016) Robot-assisted laparoscopic partial nephrectomy with the ALF-X robot on pig models. Eur Urol 69(2):376–377. CrossRefPubMedGoogle Scholar
  8. 8.
    Fanfani F, Restaino S, Gueli Alletti S, Fagotti A, Monterossi G, Rossitto C, Costantini B, Scambia G (2015) TELELAP ALF-X robotic-assisted laparoscopic hysterectomy: feasibility and perioperative outcomes. J Minim Invasive Gynecol 22(6):1011–1017. CrossRefPubMedGoogle Scholar
  9. 9.
    Fanfani F, Monterossi G, Fagotti A, Rossitto C, Gueli Alletti S, Costantini B, Gallotta V, Selvaggi L, Restaino S, Scambia G (2016) The new robotic TELELAP ALF-X in gynecological surgery: single-center experience. Surg Endosc 30(1):215–221. CrossRefPubMedGoogle Scholar
  10. 10.
    Lim JH, Lee WJ, Park DW, Yea HJ, Kim SH, Kang CM (2017) Robotic cholecystectomy using Revo-i Model MSR-5000, the newly developed Korean robotic surgical system: a preclinical study. Surg Endosc 31(8):3391–3397. CrossRefPubMedGoogle Scholar
  11. 11.
    Abdel Raheem A, Troya IS, Kim DK, Kim SH, Won PD, Joon PS, Hyun GS, Rha KH (2016) Robot-assisted Fallopian tube transection and anastomosis using the new REVO-I robotic surgical system: feasibility in a chronic porcine model. BJU Int 118(4):604–609. CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of UrologyGlobal HospitalMumbaiIndia

Personalised recommendations