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Future of robotic surgery in urology
Jens J Rassweiler1, Riccardo Autorino2, Jan Klein3
1Department of Urology, SLK-Kliniken Heilbronn, University of Heidelberg, Heidelberg, Germany.
BJU International
|March 21, 2017
Summary
New robotic surgical systems are emerging for urological procedures, offering advanced features. Their clinical adoption will depend on effectiveness and cost, with patient outcomes yet to be determined.
Area of Science:
- Urology
- Robotics
- Surgical Technology
Background:
- The field of robotic surgery is rapidly evolving.
- The expiration of key patents for early robotic systems is driving innovation.
Purpose of the Study:
- To provide a comprehensive overview of current robotic systems in urological surgery.
- To discuss future perspectives and emerging technologies in the field.
Main Methods:
- A non-systematic literature review of PubMed/Medline was conducted.
- Research included existing patents for robotic devices via Google search.
- Findings were critically analyzed with author expertise.
Main Results:
- Several new robotic systems are entering the market, featuring diverse console types, arm arrangements, and instrument capabilities (e.g., haptic feedback, eye-tracking).
- Specific systems like Telelap ALF-X, Medtronic, Avatera, REVO-I, Medicaroid, and platforms for single-port surgery (SP 1098, SPORT, SurgiBot) are detailed.
- Robotic flexible ureteroscopy systems like Avicenna Roboflex show promising initial results.
Conclusions:
- Multiple console-based robotic systems for multi- and single-port surgery are anticipated in the next five years.
- Future developments will focus on robotic arms, instruments, consoles, and video technology.
- Clinical applicability and cost will determine the success of new systems, with patient outcomes remaining a key consideration.
