Versius robotic surgical system: case series of 18 robot-assisted radical prostatectomies

Maurizio De Maria; Iacopo Meneghetti; Luca Mosillo; Justin W Collins; Chiara Catalano

doi:10.1111/bju.16156

Versius robotic surgical system: case series of 18 robot-assisted radical prostatectomies

BJU Int. 2024 Feb;133(2):197-205. doi: 10.1111/bju.16156. Epub 2023 Aug 30.

Authors

Maurizio De Maria¹, Iacopo Meneghetti¹, Luca Mosillo¹, Justin W Collins^{2

3

4}, Chiara Catalano¹

Affiliations

¹ Urology Department, Ospedale Apuane, Massa, Italy.
² Division of Surgery and Interventional Science, Research Department of Targeted Invention, University College London, London, UK.
³ Division of Uro-Oncology, University College London Hospital, London, UK.
⁴ Associate Medical Director, CMR Surgical, Cambridge, UK.

PMID: 37604773
DOI: 10.1111/bju.16156

Abstract

Objective: To present the results of the first series of patients treated with robot-assisted radical prostatectomy (RARP) with the use of the Versius® Surgical System (CMR Surgical Ltd., Cambridge, UK). RARP has demonstrated better perioperative outcomes compared to open RP. However, RARP remains limited by platform availability and cost-effectiveness issues. The increasing competition from new robotic surgical platforms may further drive utilisation of the robotic approach.

Patients and methods: Data were collected prospectively for our first 18 consecutive patients with localised prostate cancer who underwent RARP at our centre over a 3-month period. We recorded parameters, including patient demographics and perioperative outcomes. We also report our optimised set-up with regard to trocar placement, bedside unit placement, and overall composition of the operating room for this procedure. Describing the incremental modifications carried out to achieve reductions in set-up and operating times to optimise utilisation of the Versius system.

Results: The median (interquartile range [IQR]) set-up time was 8.5 (7-10) min. The median (IQR) console time was 201 (170-242) min. The median (IQR) operative time was 213 (186-266) min. The median (IQR) total surgery time was 226 (201-277) min. Bilateral pelvic lymphadenectomy median (IQR) time was 19 (17-20) min. There were no complications and/or limitations related to the use of the Versius system including need for conversion. There were no relevant intra- or postoperative complications at the 1-month follow-up related to the use of the Versius system. Patients were discharged after a median (IQR) of 4 (3.75-5) days, and the transurethral catheter was removed after a mean (range) of 8 (7-14) days. Continence at 2 months was achieved in 72.2% of the patients.

Conclusions: Performing RARP using the Versius system is feasible, safe, and easily reproducible. Our set-up enables a rapid docking approach and efficient completion of the surgery.

Keywords: Versius; outcomes; prostate cancer; robot-assisted radical prostatectomy; robotic surgery.

MeSH terms

Humans
Male
Prostate / surgery
Prostatectomy / methods
Prostatic Neoplasms* / etiology
Prostatic Neoplasms* / surgery
Robotic Surgical Procedures* / methods
Robotics*
Treatment Outcome