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Perekhodov S.N.

Clinical Hospital MEDSI in Otradnoe;
Russian University of Medicine

Erin S.A.

City Clinical Hospital No. 24

Gololobov G.Yu.

City Clinical Hospital No. 24;
Sechenov First Moscow State Medical University

Ovchinnikova U.R.

Sechenov First Moscow State Medical University

Dunaev T.S.

Sechenov First Moscow State Medical University

Experience of the first in Russia gastrectomy on the Versius robotic system

Authors:

Perekhodov S.N., Erin S.A., Gololobov G.Yu., Ovchinnikova U.R., Dunaev T.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(11): 35‑40

DOI: 10.17116/hirurgia202511135

Read: 392 times

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Table of contents

EXPERIENCE OF THE FIRST IN RUSSIA GASTRECTOMY ON THE VERSIUS ROBOTIC SYSTEM
EXPERIENCE OF THE FIRST IN RUSSIA GASTRECTOMY ON THE VERSIUS ROBOTIC SYSTEM

To cite this article:

Perekhodov SN, Erin SA, Gololobov GYu, Ovchinnikova UR, Dunaev TS. Experience of the first in Russia gastrectomy on the Versius robotic system. Pirogov Russian Journal of Surgery. 2025;(11):35‑40. (In Russ.)
https://doi.org/10.17116/hirurgia202511135

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

This article presents a clinical case of robot-assisted gastrectomy with D2-lymphodissection in a patient with persternal squamous cell gastric cancer performed using the new Versius surgical system (CMR Surgical). The technical aspects of the operation are described, including the steps of gastric mobilisation, lymphodissection and formation of a Roux esophagoenteroanastomosis. The total intervention time was 5 hours and 20 minutes, blood loss was 350 ml. The postoperative period was without complications, the patient was discharged on the 11th day. The advantages of the Versius system, such as modularity, improved ergonomics, 3D-visualisation and lower cost of consumables compared to analogues, are discussed. Its disadvantages, including limited availability of energy instruments, are highlighted, offset by the ability to be combined with conventional laparoscopy. The results confirm the safety and efficacy of the Versius system. It is concluded that its application in surgery of the cardioesophageal junction and stomach is promising.

Keywords:

robot-assisted surgery
gastrectomy
Versius robotic system
gastric cancer
minimally invasive technologies

Authors:

Perekhodov S.N.

Clinical Hospital MEDSI in Otradnoe;
Russian University of Medicine

Erin S.A.

City Clinical Hospital No. 24

Gololobov G.Yu.

City Clinical Hospital No. 24;
Sechenov First Moscow State Medical University

Ovchinnikova U.R.

Sechenov First Moscow State Medical University

Dunaev T.S.

Sechenov First Moscow State Medical University

Received:

26.07.2025

Accepted:

24.09.2025

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References:

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  2. Berguer R, Forkey DL, Smith WD. Ergonomic problems associated with laparoscopic surgery. Surg Endosc. 1999;13(5):466-468.  https://doi.org/10.1007/PL00009635
  3. Hashizume M, Shimada M, Tomikawa M, et al. Early experiences of endoscopic procedures in general surgery assisted by a computer-enhanced surgical system. Surg Endosc. 2002;16(8):1187-1191. https://doi.org/10.1007/s00464-001-8195-6
  4. Chen K, Pan Y, Zhang B, Maher H, Wang XF, Cai XJ. Robotic versus laparoscopic Gastrectomy for gastric cancer: a systematic review and updated meta-analysis. BMC Surg. 2017;17(1):93.  https://doi.org/10.1186/s12893-017-0290-2
  5. Aktas A, Aytac E, Bas M, et al. Totally minimally invasive radical gastrectomy with the da Vinci Xi robotic system versus straight laparoscopy for gastric adenocarcinoma. Robotic Comput Surg.2020;16(6):1-9.  https://doi.org/10.1002/rcs.2146
  6. Atallah S, Parra-Davila E, Melani AGF. Assessment of the Versius surgical robotic system for dual-field synchronous transanal total mesorectal excision (taTME) in a preclinical model: will tomorrow’s surgical robots promise newfound options? Tech Coloproctol. 2019;23(5):471-477.  https://doi.org/10.1007/s10151-019-01992-1
  7. Huscher C, Marchegiani F, Cobellis F, et al. Robotic oncologic colorectal surgery with a new robotic platform (CMR Versius): hope or hype? A preliminary experience from a full-robotic case-series. Tech Coloproctol. 2022;26(9):745-753.  https://doi.org/10.1007/s10151-022-02626-9
  8. Puntambekar SP, Goel A, Chandak S, et al. Feasibility of robotic radical hysterectomy (RRH) with a new robotic system. Experience at Galaxy Care Laparoscopy Institute. J Robot Surg. 2021;15(3):451-456.  https://doi.org/10.1007/s11701-020-01127-x
  9. Chowbey P, Dewan A, Sharma A, et al. A review of the first 100 robotic cholecystectomies with a new cart-based surgical robot at a tertiary care centre. J Minim Access Surg. 2023;19(3):390-394.  https://doi.org/10.4103/jmas.jmas_184_22
  10. Soumpasis I, Nashef S, Dunning J, Moran P, Slack M. Safe Implementation of a Next-Generation Surgical Robot: First Analysis of 2,083 Cases in the Versius Surgical Registry. Ann Surg. 2023;278(4):e903. https://doi.org/10.1097/SLA.0000000000005871
  11. Wehrmann S, Tischendorf K, Mehlhorn T, et al. Clinical implementation of the Versius robotic surgical system in visceral surgery — A single centre experience and review of the first 175 patients. Surg Endosc. 2023;37(1):528-534.  https://doi.org/10.1007/s00464-022-09526-x
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