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Standardizing radical prostatectomy with the Versius robotic system: technical setup and early institutional

Guillermo Fernández-Conejo¹, Jose Daniel Subiela Henríquez², Ana Tagalos Muñoz²

¹Hospital Ramón y Cajal, M-607, Km. 9, 100, Madrid, Spain. gfernandezc90@gmail.com.

Journal of Robotic Surgery

|August 9, 2025

Summary

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The Versius robotic system offers a cost-effective approach to robot-assisted radical prostatectomy (RARP) for prostate cancer. This study demonstrates its feasibility and efficient surgical workflows, paving the way for wider adoption.

Area of Science:

Urology
Robotic Surgery
Surgical Oncology

Background:

Robot-assisted radical prostatectomy (RARP) is the standard treatment for localized prostate cancer.
High costs of existing robotic systems impede widespread RARP adoption.
The Versius robotic system presents a more affordable alternative with modularity and ergonomic advantages.

Purpose of the Study:

To evaluate the technical setup and intraoperative performance of the Versius system for RARP.
To assess the early institutional experience with RARP using the Versius system.
To provide guidance on optimal setup for other centers initiating Versius robot programs.

Main Methods:

Descriptive analysis of 135 patients undergoing RARP with the Versius system (May 2023 - February 2025).

Keywords:

Prostate cancer Radical prostatectomy Robotic Versius

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Procedures performed by four urologists with varying levels of robotic surgery experience.

Detailed description of system setup to minimize arm clashes and optimize workflow.

Main Results:

An optimal setup enables feasible RARP with the Versius system.
Surgery times were competitive compared to established robotic platforms.
The system demonstrated ergonomic benefits and efficient surgical workflows.

Conclusions:

The Versius robotic system is a promising option for RARP, offering cost-effectiveness and ergonomic advantages.
Early results indicate feasibility and efficiency, supporting its potential for broader clinical adoption.
Further research is needed to refine setup protocols and optimize its use in diverse settings.