Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review

Background: Despite the superiority of minimal access surgery (MAS) over open surgery, MAS is difficult to perform and has a demanding learning curve. Robot-assisted surgery is an advanced form of MAS. The Versius<sup>®</sup> surgical robot system was developed with the aim of overcoming...

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Main Authors: Ibrahim Alkatout, Hamid Salehiniya, Leila Allahqoli
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/13/3754
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author Ibrahim Alkatout
Hamid Salehiniya
Leila Allahqoli
author_facet Ibrahim Alkatout
Hamid Salehiniya
Leila Allahqoli
author_sort Ibrahim Alkatout
collection DOAJ
description Background: Despite the superiority of minimal access surgery (MAS) over open surgery, MAS is difficult to perform and has a demanding learning curve. Robot-assisted surgery is an advanced form of MAS. The Versius<sup>®</sup> surgical robot system was developed with the aim of overcoming some of the challenges associated with existing surgical robots. The present study was designed to investigate the feasibility, clinical safety, and effectiveness of the Versius system in MAS. Materials and Methods: A comprehensive search was carried out in the Medline, Web of Science Core Collection (Indexes = SCI-EXPANDED, SSCI, A & HCI Timespan), and Scopus databases for articles published until February 2022. The keywords used were Versius robot, visceral, colorectal, gynecology, and urologic surgeries. Articles on the use of the Versius robot in minimal access surgery (MAS) were included in the review. Results: Seventeen articles were reviewed for the study. The investigation comprised a total of 328 patients who had been operated on with this robot system, of which 48.3%, 14.2%, and 37.5% underwent colorectal, visceral, and gynecological procedures, respectively. Postoperative and major complications within 30 days varied from 7.4% to 39%. No major complications and no readmissions or reoperations were reported in visceral and gynecological surgeries. Readmission and reoperation rates in colorectal surgeries were 0–9%. Some procedures required conversion to conventional laparoscopic surgery (CLS) or open surgery, and all procedures were completed successfully. Based on the studies reviewed in the present report, we conclude that the Versius robot can be used safely and effectively in MAS. Conclusions: A review of the published literature revealed that the Versius system is safe and effective in minimal access surgery. However, the data should be viewed with caution until randomized controlled trials (RCTs) have been performed. Studies on the use of this robotic system in oncological surgery must include survival as one of the addressed outcomes.
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spelling doaj.art-5a5301c9d0e246efaefbfd41ba4134b32023-11-30T22:07:17ZengMDPI AGJournal of Clinical Medicine2077-03832022-06-011113375410.3390/jcm11133754Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic ReviewIbrahim Alkatout0Hamid Salehiniya1Leila Allahqoli2Kiel School of Gynaecological Endoscopy, Campus Kiel, University Hospitals Schleswig-Holstein, Arnold-Heller-Str. 3, Haus 24, 24105 Kiel, GermanySocial Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand 9717853577, IranMinistry of Health and Medical Education, Tehran 1467664961, IranBackground: Despite the superiority of minimal access surgery (MAS) over open surgery, MAS is difficult to perform and has a demanding learning curve. Robot-assisted surgery is an advanced form of MAS. The Versius<sup>®</sup> surgical robot system was developed with the aim of overcoming some of the challenges associated with existing surgical robots. The present study was designed to investigate the feasibility, clinical safety, and effectiveness of the Versius system in MAS. Materials and Methods: A comprehensive search was carried out in the Medline, Web of Science Core Collection (Indexes = SCI-EXPANDED, SSCI, A & HCI Timespan), and Scopus databases for articles published until February 2022. The keywords used were Versius robot, visceral, colorectal, gynecology, and urologic surgeries. Articles on the use of the Versius robot in minimal access surgery (MAS) were included in the review. Results: Seventeen articles were reviewed for the study. The investigation comprised a total of 328 patients who had been operated on with this robot system, of which 48.3%, 14.2%, and 37.5% underwent colorectal, visceral, and gynecological procedures, respectively. Postoperative and major complications within 30 days varied from 7.4% to 39%. No major complications and no readmissions or reoperations were reported in visceral and gynecological surgeries. Readmission and reoperation rates in colorectal surgeries were 0–9%. Some procedures required conversion to conventional laparoscopic surgery (CLS) or open surgery, and all procedures were completed successfully. Based on the studies reviewed in the present report, we conclude that the Versius robot can be used safely and effectively in MAS. Conclusions: A review of the published literature revealed that the Versius system is safe and effective in minimal access surgery. However, the data should be viewed with caution until randomized controlled trials (RCTs) have been performed. Studies on the use of this robotic system in oncological surgery must include survival as one of the addressed outcomes.https://www.mdpi.com/2077-0383/11/13/3754versius surgical robot systemnew robotic platformvisceral surgerygeneral surgerygynecology surgeryurologic surgery
spellingShingle Ibrahim Alkatout
Hamid Salehiniya
Leila Allahqoli
Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review
Journal of Clinical Medicine
versius surgical robot system
new robotic platform
visceral surgery
general surgery
gynecology surgery
urologic surgery
title Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review
title_full Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review
title_fullStr Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review
title_full_unstemmed Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review
title_short Assessment of the Versius Robotic Surgical System in Minimal Access Surgery: A Systematic Review
title_sort assessment of the versius robotic surgical system in minimal access surgery a systematic review
topic versius surgical robot system
new robotic platform
visceral surgery
general surgery
gynecology surgery
urologic surgery
url https://www.mdpi.com/2077-0383/11/13/3754
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AT hamidsalehiniya assessmentoftheversiusroboticsurgicalsysteminminimalaccesssurgeryasystematicreview
AT leilaallahqoli assessmentoftheversiusroboticsurgicalsysteminminimalaccesssurgeryasystematicreview