Division of General and Robotic Surgery, Department of Health Sciences, ASST Santi Paolo E Carlo, University of Milan, Milan, Italy.
Division of General Surgery, Department of Clinical and Experimental Sciences, University of Brescia and Civili Hospital, Brescia, Italy.
Langenbecks Arch Surg. 2024 Apr 3;409(1):107. doi: 10.1007/s00423-024-03291-2.
The article describes our initial experience using CMR Versius platform for several procedures in general surgery.
Between September 2022 and April 2023, seventy patients underwent robotic surgery in a multi-robotic referral center (San Paolo University Hospital, Milan, Italy). Three surgeons with only laparoscopic experience performed 24 cholecystectomies, 13 inguinal hernia repairs, 9 ventral hernia repairs, 7 right hemicolectomies, 11 left hemicolectomies, 1 sigmoidectomy, 1 ileocecal resection, 1 ventral rectopexy, 1 Nissen fundoplication, 1 total splenectomy, and 1 exploration with multiple biopsies.
All surgeries were full-robotic, with only one conversion to laparoscopy. The short length of stay and low rate of severe morbidity are promising findings. Although operative time was lengthened, clinical outcomes were not affected.
Our experience demonstrates that the adoption of Versius system is safe and feasible in general surgery. The standardization of port placement and BSU set-up can certainly reduce the operative time.
本文描述了我们在普通外科中使用 CMR Versius 平台进行多项手术的初步经验。
2022 年 9 月至 2023 年 4 月，70 名患者在一家多机器人转诊中心（意大利米兰的 San Paolo 大学医院）接受了机器人手术。三位只有腹腔镜经验的外科医生进行了 24 例胆囊切除术、13 例腹股沟疝修补术、9 例腹疝修补术、7 例右半结肠切除术、11 例左半结肠切除术、1 例乙状结肠切除术、1 例回肠-结肠切除术、1 例腹侧直肠固定术、1 例 Nissen 胃底折叠术、1 例全脾切除术和 1 例多发性活检探查术。
所有手术均为全机器人手术，仅 1 例转为腹腔镜手术。较短的住院时间和较低的严重发病率是很有前途的发现。虽然手术时间延长，但临床结果未受影响。
我们的经验表明，Versius 系统在普通外科中是安全可行的。端口放置和 BSU 设置的标准化肯定可以缩短手术时间。
