Objective:Since the introduction of the Da Vinci®robotic system,robot-assisted colon resection has gained popularity because of its the potential technical advantages.Recently,two new CE-marked platforms have bec...Objective:Since the introduction of the Da Vinci®robotic system,robot-assisted colon resection has gained popularity because of its the potential technical advantages.Recently,two new CE-marked platforms have become available in Europe:Hugo™RAS and Versius®.We present the firstprospective case series comparing these three robotic systems.Methods:This exploratory,prospective study enrolled 45 consecutive adult patients undergoing robotic colon resection between February and December 2024,as part of the COMPAR trial.Two experienced colorectal surgeons performed all procedures across two surgical units.Each robotic platform was used in 15 cases.The primary outcomes were conversion to laparoscopy or open surgery and intra-operative complications.The secondary outcomes included post-operative recovery,oncological results,and platform-specifictechnical parameters.Results:The mean age was 66.8 years and 68.9%of patients underwent surgery for colon cancer.No conversions occurred in the Da Vinci group,whereas 2 and 3 conversions to laparoscopy were recorded with Hugo™RAS and Versius®,respectively.One intra-operative instrument malfunction occurred with Hugo™RAS,and one surgical complication was reported in each group.No significantdifferences emerged in post-operative recovery or oncological outcomes.Versius®cases required more frequent use of laparoscopic energy devices(p<0.001).Hugo™RAS was associated with a longer total operating room time(p=0.022)and longer incision length(p=0.005).Conclusion:Robotic colorectal surgery with all three platforms is feasible when performed by expert surgeons.While early outcomes are encouraging,larger comparative trials are needed to confirmdifferences in recovery and oncological efficacy.展开更多
As robotic assisted colorectal surgery increases in prevalence new systems are entering the market,each of which requires technique modifications.In this technical note we describe technical insights and tips gained f...As robotic assisted colorectal surgery increases in prevalence new systems are entering the market,each of which requires technique modifications.In this technical note we describe technical insights and tips gained from our extensive experience of 150 colorectal resections using the Versius®system from CMR Surgical.The triad of optimal bedside unit placement,port placement,and arm configuration is described for right hemicolectomy and anterior resection.展开更多
文摘Objective:Since the introduction of the Da Vinci®robotic system,robot-assisted colon resection has gained popularity because of its the potential technical advantages.Recently,two new CE-marked platforms have become available in Europe:Hugo™RAS and Versius®.We present the firstprospective case series comparing these three robotic systems.Methods:This exploratory,prospective study enrolled 45 consecutive adult patients undergoing robotic colon resection between February and December 2024,as part of the COMPAR trial.Two experienced colorectal surgeons performed all procedures across two surgical units.Each robotic platform was used in 15 cases.The primary outcomes were conversion to laparoscopy or open surgery and intra-operative complications.The secondary outcomes included post-operative recovery,oncological results,and platform-specifictechnical parameters.Results:The mean age was 66.8 years and 68.9%of patients underwent surgery for colon cancer.No conversions occurred in the Da Vinci group,whereas 2 and 3 conversions to laparoscopy were recorded with Hugo™RAS and Versius®,respectively.One intra-operative instrument malfunction occurred with Hugo™RAS,and one surgical complication was reported in each group.No significantdifferences emerged in post-operative recovery or oncological outcomes.Versius®cases required more frequent use of laparoscopic energy devices(p<0.001).Hugo™RAS was associated with a longer total operating room time(p=0.022)and longer incision length(p=0.005).Conclusion:Robotic colorectal surgery with all three platforms is feasible when performed by expert surgeons.While early outcomes are encouraging,larger comparative trials are needed to confirmdifferences in recovery and oncological efficacy.
文摘As robotic assisted colorectal surgery increases in prevalence new systems are entering the market,each of which requires technique modifications.In this technical note we describe technical insights and tips gained from our extensive experience of 150 colorectal resections using the Versius®system from CMR Surgical.The triad of optimal bedside unit placement,port placement,and arm configuration is described for right hemicolectomy and anterior resection.
