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Initiation and feasibility of a multi-specialty minimally invasive surgical programme using a novel robotic system: A
Frances Dixon1, Achal Khanna, Parveen Vitish-Sharma
1Department of Colorectal Surgery, Milton Keynes University Hospital NHS Foundation Trust, MK6 5LD, UK Department of General Surgery, Milton Keynes University Hospital NHS Foundation Trust, MK6 5LD, UK Department of Obstetrics & Gynaecology, Milton Keynes University Hospital NHS Foundation Trust, MK6 5LD, UK University of Buckingham, Buckingham, MK18 1EG, UK.
Introduction:
There are a number of small case series examining new robotic surgical systems, but this is the first large case series assessing the feasibility of the Versius® system from CMR Surgical (1 Evolution Business Park, Cambridge, UK) in a multi-specialty setting.
Materials And Methods:
All patients undergoing Versius®-assisted surgery in a previously robot-naïve centre were consented for collection of data on demographics, pre-, intra-, and postoperative outcomes. Data collection was performed prospectively from the start of the robotic surgical programme.
Results:
160 operations were performed over a 19-month period, including 68 colorectal, 60 gynaecology, and 32 general surgery cases. The conversion rate to open surgery was 4.4% for colorectal, and 0% for gynaecology and general surgery. Median length of stay was 6 days for colorectal, 1 day for gynaecology, and 0 days for general surgery. Other outcomes were comparable to existing literature for robotic assisted surgery.
Conclusion:
The Versius® system is safe and feasible for use in a multi-specialty minimally invasive surgery programme, including colorectal, general surgical & gynaecological cases, and operative volume can be safely and easily scaled up in a district general hospital setting without prior robotic surgical experience.
