New Horizons in Robotic Surgery: DaVinci Begins to Compete

Rodríguez, Rafael Andrés Clavijo; Noguera, Rene J. Sotelo

doi:10.1055/s-0041-1737013

Cited by 3 publications

(3 citation statements)

References 7 publications

(7 reference statements)

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“…These novel systems offer single port, flexible and modular devices. [9][10][11] The advent of new technology and surgical systems raises the possibility of overcoming the 'funnel effect'and expanding TORS into the larynx and other previously limited subsites. 12 The Versius Surgical System is a novel robotic platform by CMR Surgical (Cambridge, UK) designed to overcome some of the challenges and limitations associated with currently available robotic systems.…”

Section: Open Accessmentioning

confidence: 99%

“…Rapid technological development has resulted in the development of multiple novel devices and a rapid market expansion. These novel systems offer single port, flexible and modular devices 9–11. The advent of new technology and surgical systems raises the possibility of overcoming the ‘funnel effect’and expanding TORS into the larynx and other previously limited subsites 12…”

Section: Introductionmentioning

confidence: 99%

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New robotic platform for transoral robotic surgery: an IDEAL stage 0 study

Arora,

Faulkner,

Paleri

et al. 2024

BMJ Surg Interv Health Technologies

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ObjectivesThis study aims to assess the feasibility to perform transoral robotic surgery (TORS) with a new robotic platform, the Versius Surgical System (CMR Surgical, UK) in a preclinical cadaveric setting in accordance to stage 0 of the IDEAL-D framework.DesignIDEAL stage 0 preclinical assessment of the Versius Robotic System in TORS in human cadavers.SettingAll procedures were performed in a simulated operating theatre environment at a UK surgical training centre.Participants11 consultant head and neck surgeons from the UK, mainland Europe and the USA took part in TORS procedures on six human cadavers.Interventions3 key index procedures were assessed that represent the core surgical workload of TORS: lateral oropharyngectomy, tongue base resection and partial supraglottic laryngectomy.Main outcome measuresThe primary outcome was the successful completion of each surgical procedure. Secondary outcomes included the optimisation of system setup, instrumentation and surgeon-reported outcomes for feasibility of each component procedural step.Results33 cadaveric procedures were performed and 32 were successfully completed. One supraglottic laryngectomy was not fully completed due to issues dividing the epiglottic cartilage with available instrumentation. Surgeon-reported outcomes met the minimal level of feasibility in all procedures and a consensus that it is feasible to perform TORS with Versius was reached. Available instrumentation was not representative of other robotic platforms used in TORS and further instrument optimisation is recommended before wider dissemination.ConclusionsIt is feasible to perform TORS with the Versius Surgical System (CMR Surgical) within a pre-clinical cadaveric setting. Clinical evaluation is needed and appropriate with the system. Further instrument development and optimisation is desirable.

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Section: Open Accessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

New robotic platform for transoral robotic surgery: an IDEAL stage 0 study

Arora,

Faulkner,

Paleri

et al. 2024

BMJ Surg Interv Health Technologies

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“…Intuitive Surgical designed the first da Vinci robot with three arms in January 1999; it was approved by the US FDA in July 2000 as the first commercial product legally allowed for clinical use. This robot has been used in cardiothoracic surgery, urology, gynecology, general surgery, head and neck surgery, transplantation surgery, and pediatric surgery worldwide (Bhandari et al, 2020; Chaar et al, 2022; Etienne et al, 2020; Feng et al, 2022; Gumbs et al, 2021; Higgins & Gould, 2020; Hosein et al, 2020; Kaan & Ho, 2020; Lawrence, 2022; Rafael & René, 2021). As of June 30, 2022, Intuitive Surgical announced that more than 7135 da Vinci robots have been installed in hospitals worldwide, with more than 10 million procedures performed till date and more than 55,000 surgeons in 70 countries trained on the da Vinci system (Seetharam Bhat et al, 2020; Vinh et al, 2021; Wang et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Establishment and implementation of a clinical application and research database for surgical robots in China

Ma,

Li,

et al. 2023

WIREs Data Min & Knowl

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Robots are widely used in surgeries worldwide. To improve robotic surgical treatments, we established a database of clinical applications and research on surgical robots. Robotics‐related literature included in the China national knowledge infrastructure (CNKI), Wanfang, Vipshop, Chinese science citation database (CSCD), Web of Science, EMBASE, PubMed, and Cochrane databases up to September 2022 was searched and entered into the database. Information on all patients who had undergone robotic surgery at our hospital since 2016 was also included. Literature and case information was classified and evaluated according to standard guidelines and statements. The Gansu Provincial Hospital was the first to use evidence‐based medical research methods to successfully establish a database of clinical applications and research on surgical robots. This database comprised literature search, upload, quality evaluation, risk of bias assessment, case information entry, and access functions. Based on the database, we conducted related studies in general surgery, gynecology, urology, thoracic surgery, and cardiovascular surgery, and published 16 meta‐analyses and 15 clinical studies. Establishing this database removes language, retrieval, and evaluation barriers in clinicians' use of clinical evidence and lays the foundation for the efficient and accurate use of clinical data for future research. Further, it facilitates evidence‐based evaluation of the effectiveness of robotic therapy, which may guide future medical practice. This typical case of interdisciplinary research aims to build a platform to disseminate knowledge and technology in robotic surgery.This article is categorized under: Technologies > Computer Architectures for Data Mining Application Areas > Data Mining Software Tools Application Areas > Education and Learning

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