Robotic distal pancreatectomy: Initial experience with the Versius robotic surgical system. Stage 2a IDEAL prospective case series

Clinical Surgical Oncology Pub Date : 2024-12-01 DOI:10.1016/j.cson.2024.100063

Francesco Lancellotti , Affan Iqbal , Jenifer Barrie , Panagiotis Stathakis , Thomas Satyadas , Rahul Deshpande , Jegatheeswaran Santhalingam , Nicola de Liguori-Carino , Aali Sheen , Ajith Kumar Siriwardena , Saurabh Jamdar

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Abstract

Background

Distal pancreatectomy (DP) is a well-established minimally invasive procedure. However, feasibility and technical details when using Versius robotic surgical system are still unexplored.

Method

This is a prospective stage 2a development IDEAL (Idea, Development, Exploration, Assessment and Long-term monitoring) case series. All consecutive robotic DP (RDP), including both splenectomy (DPS) and spleen-preserving DP (SPDP), were analysed. Pre- intra- and post-operative details were prospectively recorded.

Results

6 DPS and 3 SPDP were performed between May 2022 and May 2024. Conversion to open was recorded in one case. The average operating time and robot docking time were 185 min (range: 118–300) and 9.3 min (range: 3–15), respectively. No reoperation or 90-days mortality were recorded. Ports placement, instruments used, and surgical strategy are described in detail.

Conclusion

We present the first series on RDP performed by Versius robotic surgical system. The procedure is safe and feasible, and careful patient selection is required for the first cases.

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机器人远端胰腺切除术：Versius机器人手术系统的初步经验。2a期IDEAL前瞻性病例系列

远端胰腺切除术（DP）是一种公认的微创手术。然而，使用Versius机器人手术系统的可行性和技术细节仍未被探索。这是一个前瞻性的2a阶段发展的IDEAL （Idea, development, Exploration, Assessment and Long-term monitoring）案例系列。分析所有连续的机器人DP (RDP)，包括脾切除术（DPS）和保脾DP （SPDP）。术前、术中及术后的细节均进行前瞻性记录。结果在2022年5月至2024年5月间进行了6例DPS和3例SPDP。其中一例转为开放。平均操作时间185 min（范围118 ~ 300），机器人对接时间9.3 min（范围3 ~ 15）。无再手术和90天死亡率记录。详细描述了端口放置，使用的器械和手术策略。结论本文首次报道了使用Versius机器人手术系统进行RDP的病例。手术是安全可行的，在第一例病例中需要仔细选择患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Surgical Oncology

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