ArticleLangenbeck's archives of surgery2025
Versius surgical system: tips and tricks for OR setting and port placement for pelvic surgery, our experience in a multi-robotic referral centre.
Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Learning Curve of Docking Time in Robot-Assisted Radical Prostatectomy with the Hugo RAS System: How Many Procedures to Achieve Efficiency?Journal of clinical medicine · 2026Article
- Comprehensive Comparison of Features of Robotic Surgery Systems in Abdominal Surgeries: A Narrative Review Study.Health science reports · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Versius surgical system (CMR Surgical, Cambridge, UK) is a new robotic platform introduced after the original patent of the DaVinci system expired; it has already been applied in different fields, including gynaecology. Unlike DaVinci, Versius has four independent bedside units (BSU), which must be individually positioned with adequate angles and distance to avoid collisions. Given this peculiarity and the shorter arm (30 cm) compared to the Da Vinci, investigating BSU positioning and port placement is mandatory. We aim to report technical tips and tricks for OR setup and port placement by analyzing our initial series with the Versius system for benign gynaecological conditions, thereby making the procedure easily reproducible. MATERIALS AND
methodsWe considered prospectively 19 patients undergoing robotic surgery for gynaecological diseases. Demographics, pre-surgical variables, intraoperative robotic events (number and characteristics of collisions, need for detaching instruments, and moving trays during surgery), and perioperative outcomes were collected. Factors impacting the occurrence of high-impact collisions (requiring the disconnection of instruments and restarting of the port training) were analyzed.
resultAll surgeries were carried out uneventfully and without conversion. Collisions of any type occurred in 16 out of 19 operations, including 11 high impact collisions. The distance between the trocars and the target organ is a factor that impacts the necessity to restart the system.
conclusionsVersius appeared to be a safe option for benign gynaecological surgery. Our experience suggests that a minimum distance of 19 cm from the bipolar operative trocar and the target organ, as well as a minimum distance of 15 cm between the scissors operative trocar and the target organ, is recommendable to avoid any collisions, or 11 and 9 cm to avoid high impact collisions.
conclusionsVersius appeared to be a safe option for benign gynaecological surgery. Our experience suggests that a minimum distance of 19 cm from the bipolar operative trocar and the target organ, as well as a minimum distance of 15 cm between the scissors operative trocar and the target organ, is recommendable to avoid any collisions, or 11 and 9 cm to avoid high impact collisions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.