Background

Robotic surgical systems introduce new opportunities for the minimal accessed surgeon. The combination of three-dimensional magnified vision and articulated instruments with seven degrees of freedom provide a good and safe alternative to laparoscopic surgery. Indeed some of these features may support the case that robotic surgery may be better than conventional surgery. In this study, we report our experience of robotic surgery by using the first open console, modular robotic platform in Germany, the Versius Surgical System®.

Methods

We implemented the Versius Surgical System® in April 2021 at our centre. Since then, 175 patients received robotic assisted surgery. All patients were included in this study. Data were analysed by using the SPSS (IBM Statistics) Software.

Results

175 patients underwent robotic surgery. We started the implementation of the system by performing cholecystectomy. After the first 50 successful operations, we began to perform robotic assisted oncological resections. We saw a learning curve with improvements in total operative time and console time until reaching a standard similar to conventional laparoscopic surgery. The perioperative complication-ratio was equivalent for operations matched the histopathological outcome (MERCURY graduation, R0-staus) at oncological resections. However, four patients had to be revised because of secondary bleeding. Interestingly the total hospital stay for right sided hemicolectomy and oesophagus-resection was shorter than in laparoscopic surgery.

Summary

In our opinion, the Versius Surgical System® seems to be a good, promising system and a safe alternative to other robotic systems, although any comparison is still missing. The open design enabling a better communication between console surgeon and bedside-unit assistant as well as the mobile bedside units are very interesting and allow more flexibility. Nevertheless, there are limitations of the system that require a direct comparison with other robotic systems as well as continuous advancement.

中文翻译：

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Versius机器人手术系统在内脏手术中的临床应用——单中心首批175例患者的经验与回顾

背景

机器人手术系统为微创外科医生带来了新的机会。三维放大视野和七自由度铰接器械的组合为腹腔镜手术提供了一种良好且安全的替代方案。事实上，其中一些特征可能支持机器人手术可能比传统手术更好的情况。在这项研究中，我们通过使用德国第一个开放式控制台、模块化机器人平台 Versius Surgical System® 报告了我们的机器人手术经验。

方法

我们于 2021 年 4 月在我们的中心实施了 Versius Surgical System®。此后，已有 175 名患者接受了机器人辅助手术。所有患者都包括在本研究中。使用 SPSS (IBM Statistics) 软件分析数据。

结果

175 名患者接受了机器人手术。我们通过进行胆囊切除术开始实施该系统。在前 50 次成功手术后，我们开始进行机器人辅助肿瘤切除术。我们看到一条学习曲线，总手术时间和控制台时间有所改善，直到达到与传统腹腔镜手术相似的标准。在肿瘤切除术中，围手术期并发症比率与组织病理学结果（MERCURY 分级，R0-staus）相匹配的手术相当。然而，有 4 名患者因继发性出血而不得不进行修正。有趣的是，右侧半结肠切除术和食道切除术的总住院时间比腹腔镜手术短。

概括

在我们看来，Versius Surgical System® 似乎是一个很好的、有前途的系统，并且是其他机器人系统的安全替代品，尽管仍然缺少任何比较。开放式设计使控制台外科医生和床边单元助手以及移动床边单元之间能够更好地沟通，非常有趣，并允许更大的灵活性。然而，该系统存在局限性，需要与其他机器人系统进行直接比较以及不断改进。