Robotic-assisted right colectomy with the DEXTER^® Robotic Surgery System: first prospective multicenter study.

Area of Science:

• Minimally Invasive Surgery
• Surgical Robotics
• Colorectal Surgery

Background:

• Robotic surgery offers enhanced visualization and dexterity in colorectal procedures.
• The DEXTER Robotic Surgery System is being evaluated for its application in right colectomy.

Purpose of the Study:

• To confirm the perioperative and early postoperative safety of the DEXTER system in right colectomy.
• To evaluate the clinical performance of the DEXTER Robotic Surgery System.

Main Methods:

• A prospective, multicenter study involving four surgeons across three European sites.
• Primary endpoints included major complications (Clavien-Dindo grades III-V) and procedural success.
• Secondary endpoints assessed perioperative safety and performance up to 30 days post-procedure.

Main Results:

• 33 patients underwent right colectomy with the DEXTER system; no device-related conversions to open surgery occurred.
• Two major complications (Clavien-Dindo III-V) were reported, neither device-related.
• Median operative time was 168 minutes, with a median length of stay of 5 days; no blood transfusions were required.

Conclusions:

• Right colectomy using the DEXTER system is feasible and shows promising short-term safety and clinical performance.
• The system's effectiveness was supported even early in the learning curve for surgeons.
• Further studies are needed to assess long-term safety and functional outcomes.