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Colorectal cancer surgery: by Cambridge Medical Robotics Versius Surgical Robot System—a single-institution study. Our experience

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Abstract

With the previous experiences in performing laparoscopic for over a period of 15 years and da Vinci colorectal surgeries from 2010 to 2013, we started operating using the Cambridge Medical Robotics (CMR) Versius Surgical Robot System. The aim of the study is a prospective analysis and evaluation of short-term results of consecutive patients to study the technical feasibility and oncological outcome of robot-assisted low anterior resection (LAR) and ultralow anterior resection (ULAR), using the CMR Versius Surgical Robot System. This study was conducted at single minimal access surgery institute. 31 patients with colorectal adenocarcinoma underwent robot-assisted LAR and ULAR between August 2019 and March 2020. Patient characteristics, perioperative parameters and complications were evaluated. Surgical and pathological outcomes such as quality of Total Mesorectal Excision (TME), free circumferential resection margins and number of lymph nodes dissected were also evaluated. Of 31 patients, 23 were men and 8 women, with mean age of 55.6 years. The mean robotic operative time was 51 min and the mean blood loss was 55 ml. The mean robot docking and undocking time was 17 min and 5 min, respectively. The mean hospital stay was 7 days. The longitudinal and circumferential resection margins were negative in all patients. Histopathological reports of 27 among 31 patients showed complete TME. Splenic flexure of colon mobilization was done laparoscopically. We feel that Versius robot has the qualities in terms of dexterity, vision and intuitive movements, and to translate this technical ability into oncological safety.

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References

  1. MacFarlane JK, Ryall RD, Heald RJ (1993) Mesorectal excision for rectal cancer. Lancet 341(8843):457–460

    Article  CAS  Google Scholar 

  2. Heald RJ et al (1998) Rectal cancer: the Basingstoke experience of total mesorectal excision 1978–1997. Arch Surg 133(8):894–899

    Article  CAS  Google Scholar 

  3. Ohtani H et al (2011) A meta-analysis of the short- and long-term results of randomized controlled trials that compared laparoscopy-assisted and conventional open surgery for rectal cancer. J Gastrointest Surg 15:1375–1385

    Article  Google Scholar 

  4. Spinoglio G et al (2009) Robotic laparoscopic surgery with the da Vinci® system: an early experience. Surg Technol Int 18:70–74

    PubMed  Google Scholar 

  5. Baik SH, Ko YT, Kang CM, Lee WJ, Kim NK, Sohn SK, Chi HS, Cho CH (2008) Robotic tumor-specific mesorectal excision of rectal cancer: short-term outcome of a pilot randomized trial. Surg Endosc 22:1601–1608

    Article  CAS  Google Scholar 

  6. Baik SH, Lee WJ, Rha KH, Kim NK, Sohn SK, Chi HS, Cho CH, Lee SK, Cheon JH, Ahn JB et al (2008) Robotic total mesorectal excision for rectal cancer using four robotic arms. Surg Endosc 22:792–797

    Article  Google Scholar 

  7. Pigazzi A, Ellenhorn JD, Ballantyne GH, Paz IB (2006) Robotic-assisted laparoscopic low anterior resection with total mesorectal excision for rectal cancer. Surg Endosc 20(10):1521–1525

    Article  CAS  Google Scholar 

  8. Baik SH, Kang CM, Lee WJ, Kim NK, Sohn SK, Chi HS et al (2007) Robotic total mesorectal excision for the treatment of rectal cancer. J Robot Surg 1(1):99–102

    Article  Google Scholar 

  9. Baik SH, Lee WJ, Rha KH, Kim NK, Sohn SK, Chi HS et al (2008) Robotic total mesorectal excisionfor rectal cancer using four robotic arms. Surg Endosc 22(3):792–797

    Article  Google Scholar 

  10. Ng KH, Lim YK, Ho KS, Ooi BS, Eu KW (2009) Robotic-assisted surgery for low rectal dissection:from better views to better outcome. Singap Med J 50(8):763–767

    CAS  Google Scholar 

  11. Park JS, Choi GS, Lim KH, Jang YS, Jun SH (2010) Robotic-assisted versus laparoscopic surgery forlow rectal cancer: case-matched analysis of short-term outcomes. Ann Surg Oncol 17(12):3195–3202

    Article  Google Scholar 

  12. Park IJ, You YN, Schlette E, Nguyen S, Skibber JM, Rodriguez-Bigas MA, Chang GJ (2012) Reverse-hybrid robotic mesorectal excision for rectal cancer. Dis Colon Rectum 55(2):228–233

    Article  Google Scholar 

  13. Tsukamoto S, Nishizawa Y, Ochiai H, Tsukada Y, Sasaki T, Shida D, Ito M, Kanemitsu Y (2017) Surgical outcomes of robot-assisted rectal cancer surgery using the da Vinci Surgical System: a multi-center pilot Phase II study. Jpn J Clin Oncol 47(12):1135–1140

    Article  Google Scholar 

  14. Mégevand J, Rusconi A, Amboldi M, Lillo L, Lenisa L et al (2016) Totally robotic low anterior resection and left colectomy with systematic splenic flexure mobilization a single docking procedure for sigmoid and rectal cancer: technical notes and results. JSM Surg Oncol Res 1(1):1003

    Google Scholar 

  15. Park EJ, Cho MS, Baek SJ, Hur H, Min BS, Baik SH et al (2015) Long-term oncologic outcomes of robotic low anterior resection for rectal cancer: a comparative study with laparoscopic surgery. Ann Surg 261:129–137

    Article  Google Scholar 

  16. Debakey Y, Zaghloul A, Farag A, Mahmoud A, Elattar I (2018) Robotic-assisted versus conventional laparoscopic approach for rectal cancer surgery, first Egyptian Academic Center Experience, RCT. Minim Invasive Surg, p 5836562

  17. Taggarshe D, Attuwaybi BO, Butler BN (2014) Robotic Surgery in Colorectal Cancer. Austin J Cancer Clin Res 1(4):1018

    Google Scholar 

  18. Guillou PJ, Quirke P, Thorpe H et al (2005) Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. The Lancet 365(9472):1718–1726

    Article  Google Scholar 

  19. van der Pas MH, Haglind E, Cuesta MA et al (2013) Laparoscopic versus open surgery for rectal cancer (COLOR II): short-term outcomes of a randomised, phase 3 trial. Lancet Oncol 14(3):210–218

    Article  Google Scholar 

  20. Sun Y, Huirong Xu, Li Z, Han J, Song W, Wang J, Zhongfa Xu (2016) Robotic versus laparoscopic low anterior resection for rectal cancer: a meta-analysis. World J Surg Oncol 14:61

    Article  Google Scholar 

  21. Speicher PJ, Englum BR, Ganapathi AM et al (2015) Robotic low anterior resection for rectal cancer: a national perspective on shortterm oncologic outcomes. Ann Surg 262(6):1040–1045

    Article  Google Scholar 

  22. Sng KK, Hara M, Shin JW, Yoo BE, Yang KS, Kim SH (2013) The multiphasic learning curve for robot-assisted rectal surgery. Surg Endosc 27:3297–3307

    Article  Google Scholar 

  23. Jimenez-Rodriguez RM, Diaz-Pavon JM, de la Portilla de Juan F, Prendes-Sillero E, Dussort HC, Padillo J (2013) Learning curve for robotic-assisted laparoscopic rectal cancer surgery. Int J Colorectal Dis 28:815–821

    Article  Google Scholar 

  24. Spinoglio G, Summa M, Priora F, Quarati R, Testa S (2008) Robotic colorectal surgery: first 50 cases experience. Dis Colon Rectum 51:1627–1632

    Article  Google Scholar 

  25. Amato A, Pescatori M (2006) Perioperative blood transfusions for the recurrence of colorectal cancer. Cochrane Database Syst Rev 1:CD005033

    Google Scholar 

  26. Liao G, Zhao Z, Lin S, Li R, Yuan Y et al (2014) Robotic-assisted versus laparoscopic colorectal surgery: a meta-analysis of four randomized controlled trials. World J Surg Oncol 12:122–124

    Article  Google Scholar 

  27. Mak TWC, Lee JFY, Futaba K, Hon SSF, Ngo DKY, Ng SSM (2014) Robotic surgery for rectal cancer: a systematic review of current practice. World J Gastrointest Oncol 6(6):184–193

    Article  Google Scholar 

  28. Kim NK, Kang J (2010) Optimal total mesorectal excision for rectal cancer: the role of robotic surgery from an expert’s view. J Korean Soc Coloproctol 26(6):377–387

    Article  Google Scholar 

  29. Memon S, Heriot AG, Murphy DG, Bressel M, Lynch AC (2012) Robotic versus laparoscopic proctectomy for rectal cancer: a meta-analysis. Ann Surg Oncol 19:2095–2101

    Article  Google Scholar 

  30. D’Annibale A, Pernazza G, Monsellato I et al (2013) Total mesorectal excision: a comparison of oncological and functional outcomes between robotic and laparoscopic surgery for rectal cancer. Surg Endosc 27(6):1887–1895

    Article  Google Scholar 

  31. Baik SH, Kwon HY, Kim JS, Hur H, Sohn SK, Cho CH, Kim H (2009) Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study. Ann Surg Oncol 16:1480–1487

    Article  Google Scholar 

  32. Luca F, Valvo M, Ghezzi TL, Zuccaro M, Cenciarelli S, Trovato C (2013) Impact of robotic surgery on sexual and urinary functions after fully robotic nerve-sparing total mesorectal excision for rectal cancer. Ann Surg 257(4):672–678. https://doi.org/10.1097/SLA.0b013e318269d03b

    Article  Google Scholar 

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Authors and Affiliations

  1. 1-6, Galaxy Care Laparoscopic Institute, Pune, India

    Shailesh P. Puntambekar, K. N. Rajesh, Arjun Goel, Mangesh Hivre, Suyog Bharambe, Mihir Chitale & Mangesh Panse

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  1. Shailesh P. Puntambekar
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  2. K. N. Rajesh
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  3. Arjun Goel
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  7. Mangesh Panse
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Correspondence to K. N. Rajesh.

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Conflict of interest

Authors Dr Shailesh P. Puntambekar, Dr K. N. Rajesh, Dr Arjun Goel, Dr Mangesh Hivre, Dr Suyog Bharambe, Dr Mihir Chitale and Dr Mangesh Panse declare that they have no conflict of interest.

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All procedures followed were in accordance to the ethical standards of the responsible committee.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Puntambekar, S.P., Rajesh, K.N., Goel, A. et al. Colorectal cancer surgery: by Cambridge Medical Robotics Versius Surgical Robot System—a single-institution study. Our experience. J Robotic Surg 16, 587–596 (2022). https://doi.org/10.1007/s11701-021-01282-9

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  • DOI: https://doi.org/10.1007/s11701-021-01282-9

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