OBJECTIVE
The purpose of this systematic review is to analyze the results of the use of new Versius robotic surgical system in clinical practice.
MATERIAL AND METHODS
As part of this study, articles were searched in the Elibrary, MEDLINE, PubMed, Scopus databases. Possible search terms were used: «robotic surgery», «Versius», «robot Versius», «visceral surgery», «gynecology», «colorectal surgery», «urology», «thoracoscopy». Reviewed Peer-reviewed studies from around the world were reviewed. Our study found no published articles in languages other than English. Studies published in English were analyzed using the Versius system in colorectal, visceral, urological, thoracic and gynecological surgery. 46 articles were recorded in the databases, of which 16 established requirements are met. Results from the Versius robot were obtained, which revealed: patient demographics (age and gender), conversion to laparoscopy or open surgery, duration of operation, hospital stay, intraoperative bleeding, postoperative complications, and information on other adverse events, including postoperative mortality.
RESULTS
The study examined the parameters of 1064 patients who were involved in surgery using the Versius robot. The mean age of patients included in this review was 50.6 years. The gender ratio (male/female) was 576/433. The average duration of operation was 142.7 minutes. Conversion to laparosacopy or open surgery was mentioned in 5 studies and was recorded in 25 patients (2.3 [1.4; 3.3]%). The average length of stay in the hospital was 4.0 days. Data on postoperative complications occurred in all articles. The total number of complications was 33 (3.1 [2.1; 4.1]%). The most frequently recorded was wound infection in the area of standing robotic ports, which did not require repeated operations. The formation of ureterovaginal fistulas was noted in 2 patients. Postoperative ileus was registered in 2 cases. Other rarer complications have been described, such as, for example, rupture of a tumor capsule (1), leakage of the intestinal anastomosis (1), intestinal rupture (1) and leakage of the cystic duct stump (1). An adverse outcome in terms of mortality was recorded in one trial.
CONCLUSION
Thus, surgical interventions performed using the robot Versius are feasible, effective and safe. These procedures are well tolerated by patients, with follow-up and late follow-up consequences. Obviously, to further evaluate the effectiveness of the Versius robot, it is required to study the long-term results of treatment and the quality of life of patients, performed in the framework of randomized trials.
