Department of Urology, A.T.L.A.S (Applied Technology Laboratory for Advanced Surgery) Program, Roswell Park Comprehensive Cancer Center, Elm & Carlton St Buffalo, Buffalo, NY, 14263, USA.
Sindh Institute of Urology and Transplantation, Karachi, 74200, Pakistan.
J Robot Surg. 2023 Apr;17(2):419-426. doi: 10.1007/s11701-022-01422-9. Epub 2022 Jun 26.
We sought to describe the development of the robotic urology program at Sindh Institute of Urology and Transplantation (SIUT) and the feasibility of transitioning from the da Vinci to Versius robotic systems. The SIUT robotics program began in 2017 utilizing the da Vinci Si robotic system, transitioning to the Versius system in 2021. Retrospective review of our quality assurance database was performed. All procedures performed utilizing the two systems were identified, analyzed, and compared. Data were described with descriptive statistics. Matched procedures (by type of procedure) performed by the same surgeons utilizing the da Vinci and Versius were compared. All tests were double-sided with statistical significance set at p < 0.05.106 cases were performed by the Versius robotic surgical system in 2021. Median age was 42 years (IQR 26-56), and 69 (65%) were males. Procedures included both benign (83%) and malignant disorders (17%), several upper tract (75%), and pelvic/lower tract (25%). No major intraoperative complications were observed. Conversion to open occurred in six procedures. Malfunction of the robotic arms occurred in two procedures: the erroneous bedside units (BSU) were replaced. Eight patients developed postoperative high-grade complications. Matched analysis of various procedures (pyeloplasty, stone surgery, radical, partial, and simple nephrectomy) showed no significant difference in perioperative outcomes. To our knowledge, this is the first and largest series of urologic procedures performed by the Versius robotic surgical system.
我们旨在描述 Sindh 泌尿外科学与移植研究所（SIUT）的机器人泌尿外科项目的发展情况，以及从达芬奇机器人系统过渡到 Versius 机器人系统的可行性。SIUT 的机器人项目始于 2017 年，使用达芬奇 Si 机器人系统，于 2021 年过渡到 Versius 系统。我们对质量保证数据库进行了回顾性审查。确定、分析和比较了使用这两种系统进行的所有程序。使用描述性统计数据描述数据。比较了由同一位外科医生使用达芬奇和 Versius 进行的相同类型手术的匹配程序。所有测试均为双侧检验，统计显著性水平设为 p < 0.05。2021 年，使用 Versius 机器人手术系统进行了 106 例手术。中位年龄为 42 岁（IQR 26-56），69 例（65%）为男性。手术包括良性（83%）和恶性疾病（17%），上尿路（75%）和盆腔/下尿路（25%）。术中未观察到重大并发症。有 6 例转为开放性手术。有 2 例机器人手臂出现故障：错误的床边单元（BSU）被更换。有 8 例患者术后发生高级别并发症。对各种手术（肾盂成形术、结石手术、根治性、部分性和单纯性肾切除术）进行匹配分析，围手术期结果无显著差异。据我们所知，这是首例也是最大的使用 Versius 机器人手术系统进行的泌尿科手术系列。
