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

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).
• 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.