Department of Colorectal Surgery, Milton Keynes University Hospital NHS Foundation Trust, MK6 5LD, UK Department of General Surgery, Milton Keynes University Hospital NHS Foundation Trust, MK6 5LD, UK Department of Obstetrics & Gynaecology, Milton Keynes University Hospital NHS Foundation Trust, MK6 5LD, UK University of Buckingham, Buckingham, MK18 1EG, UK.
Int J Surg. 2021 Dec;96:106182. doi: 10.1016/j.ijsu.2021.106182. Epub 2021 Nov 27.
There are a number of small case series examining new robotic surgical systems, but this is the first large case series assessing the feasibility of the Versius® system from CMR Surgical (1 Evolution Business Park, Cambridge, UK) in a multi-specialty setting.
All patients undergoing Versius®-assisted surgery in a previously robot-naïve centre were consented for collection of data on demographics, pre-, intra-, and postoperative outcomes. Data collection was performed prospectively from the start of the robotic surgical programme.
160 operations were performed over a 19-month period, including 68 colorectal, 60 gynaecology, and 32 general surgery cases. The conversion rate to open surgery was 4.4% for colorectal, and 0% for gynaecology and general surgery. Median length of stay was 6 days for colorectal, 1 day for gynaecology, and 0 days for general surgery. Other outcomes were comparable to existing literature for robotic assisted surgery.
The Versius® system is safe and feasible for use in a multi-specialty minimally invasive surgery programme, including colorectal, general surgical & gynaecological cases, and operative volume can be safely and easily scaled up in a district general hospital setting without prior robotic surgical experience.
有许多小型病例系列研究检查新的机器人手术系统，但这是第一个在多专业环境中评估 CMR 外科（英国剑桥 1 个进化商业园区）的 Versius®系统可行性的大型病例系列研究。
在一个以前没有机器人经验的中心，所有接受 Versius®辅助手术的患者都同意收集人口统计学、术前、术中、术后结果的数据。从机器人手术计划开始，前瞻性地进行数据收集。
在 19 个月的时间里进行了 160 次手术，包括 68 例结直肠、60 例妇科和 32 例普通外科手术。结直肠手术的中转开腹率为 4.4%，妇科和普通外科手术为 0%。结直肠的中位住院时间为 6 天，妇科为 1 天，普通外科为 0 天。其他结果与机器人辅助手术的现有文献相当。
Versius®系统在多专业微创外科计划中是安全可行的，包括结直肠、普通外科和妇科病例，并且在没有机器人手术经验的地区综合医院环境中，可以安全且轻松地扩大手术量。
