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First Prospective Multicenter Evaluation of Robotic-assisted Partial Nephrectomy Using the DEXTER Robotic Surgery System.

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Related Experiment Video

Updated: Jan 9, 2026

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
03:07

Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial

Published on: August 19, 2025

772

Robotic-assisted hysterectomy using DEXTER®: the first prospective multicentre study.

Sara Imboden1, Chahin Achtari2, Jérôme Léderrey2

  • 1Department of Gynaecology and Obstetrics, University Hospital of Bern, Faculty of Medicine, Bern, Switzerland.

Facts, Views & Vision in Obgyn
|December 9, 2025
PubMed
Summary

Robotic-assisted hysterectomy using the DEXTER system is safe and feasible for benign and low-risk malignant conditions. This early study shows promising results with no major complications, adaptable workflow, and short recovery times.

Keywords:
Hysterectomyintraoperative complicationslaparoscopicprospectiverobotic surgeryrobotic-assisted

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Area of Science:

  • Minimally invasive surgery
  • Robotic surgery
  • Gynecologic oncology

Background:

  • Robotic surgery adoption is growing for hysterectomy.
  • New robotic systems aim to overcome limitations of traditional platforms.
  • The DEXTER Robotic Surgery System was developed to address these challenges.

Purpose of the Study:

  • To assess the safety and clinical performance of the DEXTER system in hysterectomy.
  • To evaluate perioperative and early postoperative outcomes.

Main Methods:

  • Prospective multicentre study of 34 patients undergoing robotic-assisted hysterectomy.
  • Patients had benign or low-risk malignant diseases.
  • DEXTER system integrated into existing surgical workflows.

Main Results:

  • No conversions to laparotomy, intraoperative complications, or transfusions.
  • Median operative time was 125.5 minutes, with 5 minutes docking time.
  • Median hospital stay was 2 days; two non-device-related adverse events occurred.

Conclusions:

  • DEXTER-assisted hysterectomy is safe and feasible, even during early learning phases.
  • The system allows for adaptable operating room workflows and procedural flexibility.
  • Further research with larger cohorts and longer follow-up is warranted.