Wang Hongkai, Cao Dalong, Moschovas Marcio Covas, Wu Junlong, Wang Beihe, Chang Kun, Wang Hui, Zhu Yun, Dai Bo, Zhu Yao, Zhang Hailiang, Patel Vipul R, Ye Dingwei
Department of Urology Fudan University Shanghai Cancer Center Shanghai China.
Urologic Oncology AdventHealth Global Robotics Institute Florida USA.
BJUI Compass. 2025 Jul 16;6(7):e70050. doi: 10.1002/bco2.70050. eCollection 2025 Jul.
To evaluate the feasibility and safety of a new modular robotic surgical platform - Carina Platform (Ronovo Surgical, Shanghai, China) in prostate and renal surgeries.
We performed 11 robot-assisted radical prostatectomies (RARP) and 7 robot-assisted partial nephrectomies (RAPN) using the novel Carina Platform at Fudan University Shanghai Cancer Center (Shanghai, China). The port placements, operating space setting, cart distances and patient positions for all surgeries were recommended according to the procedure cards developed by Ronovo Surgical. Outcomes include success rate (completion without conversion to laparoscopy or open surgery), docking time, total surgery time and safety evaluations such as estimated blood loss (EBL) and complications.
The age of the patients ranged from 37 to 73 years, and the BMI ranged from 19.9 to 29.1 kg/m. All operations were successfully completed without conversion to laparoscopy or extra port placement. For RARP, the mean docking time was 6.8 ± 5.6 min; the mean total surgery time was 156.3 ± 27.8 min; and mean EBL was 67.3 ± 39.2 ml. For RAPN, the mean docking time was 8.9 ± 1.6 min; the mean total surgery time was 146.0 ± 38.0 min; and mean EBL was 47.1 ± 7.6 ml. The mean warm ischemia time was 23.9 ± 6.7 min. There were no severe intraoperative or postoperative complications in 1-month follow-up.
This is the first clinical reporting outcomes of the Carina Platform in urologic procedures. The study provides evidence of feasibility and safety when performing RARP and RAPN with acceptable perioperative outcomes and minimal complications.
评估一种新型模块化机器人手术平台——Carina平台（上海术锐机器人有限公司，中国上海）在前列腺和肾脏手术中的可行性和安全性。
我们在中国上海复旦大学附属肿瘤医院使用新型Carina平台进行了11例机器人辅助根治性前列腺切除术（RARP）和7例机器人辅助部分肾切除术（RAPN）。所有手术的端口放置、操作空间设置、手术台车距离和患者体位均根据上海术锐机器人有限公司制定的手术流程卡进行推荐。结果包括成功率（无需转为腹腔镜手术或开放手术即可完成）、对接时间、总手术时间以及安全性评估，如估计失血量（EBL）和并发症。
患者年龄在37至73岁之间，体重指数（BMI）在19.9至29.1kg/m之间。所有手术均成功完成，无需转为腹腔镜手术或增加额外端口。对于RARP，平均对接时间为6.8±5.6分钟；平均总手术时间为156.3±27.8分钟；平均EBL为67.3±39.2毫升。对于RAPN，平均对接时间为8.9±1.6分钟；平均总手术时间为146.0±38.0分钟；平均EBL为47.1±7.6毫升。平均热缺血时间为23.9±6.7分钟。在1个月的随访中未出现严重的术中或术后并发症。
这是Carina平台在泌尿外科手术中的首次临床报告结果。该研究提供了在进行RARP和RAPN时具有可行性和安全性的证据，围手术期结果可接受且并发症最少。
