New multiport robotic surgical systems: a comprehensive literature review of clinical outcomes in urology

Abstract

Over the past 20 years, the field of robotic surgery has largely been dominated by the da Vinci robotic platform. Nevertheless, numerous novel multiport robotic surgical systems have been developed over the past decade, and some have recently been introduced into clinical practice. This nonsystematic review aims to describe novel surgical robotic systems, their individual designs, and their reported uses and clinical outcomes within the field of urologic surgery. Specifically, we performed a comprehensive review of the literature regarding the use of the Senhance robotic system, the CMR-Versius robotic system, and the Hugo RAS in urologic procedures. Systems with fewer published uses are also described, including the Avatera, Hintori, and Dexter. Notable features of each system are compared, with a particular emphasis on factors differentiating each system from the da Vinci robotic system.

The use of Versius CMR for pelvic surgery: a multicentric analysis of surgical setup and early outcomes

“…Versius can be used by surgeons from different disciplines and it heavily comprises diverse surgical specialties; the same occurs with the Da Vinci, even if major users have initially been urologists [ 1 ]. It is representative that in a center owning three robotic systems such as the ASST Santi Paolo and Carlo (Da Vinci, Versius CMR and Hugo RAS), the majority of Versius cases have been accomplished by gynecologists and general surgeons.…”

“…The system carries the potentials of versatility, due to the open console design—improving communication in the OR—and adaptability with up to 4 BSU located around the operating table with multiple allowed configurations. The hand controllers are ergonomically designed and, unlike the Da Vinci and other new systems, accommodate all functions—including camera movement and energy delivery—without pedal control [ 1 – 3 ].…”

Intraoperative Performance of DaVinci Versus Hugo RAS During Radical Prostatectomy: Focus on Timing, Malfunctioning, Complications, and User Satisfaction in 100 Consecutive Cases (the COMPAR-P Trial)

“…However, to date, this platform has shown uneven adoption across institutions and is still supported by limited scientific evidence, primarily comprising a few retrospective and single-arm studies. Notably, as of now, no planned prospective comparative trials have been published, but further evidence in this regard is eagerly awaited because an understanding of the nuanced differences between platforms, encompassing efficacy, ergonomics, cost effectiveness, and learning curves, likely represents a crucial issue for health care providers and patients alike [3] .…”

Evaluation of the hinotori TM Surgical Robot System for accurate suturing in small cavities

“…Additionally, a exible three-dimensional (3D) viewer in the surgeon's cockpit may alleviate neck and shoulder fatigue. The hinotori™ system is primarily utilized in urology and adult surgery [6][7][8][9][10][11][12][13][14][15] but is anticipated to expand to pediatric surgeries. However, in pediatric robot-assisted surgery, the minimum body size for a safe operation has not yet been clearly de ned.…”