Comparison of Perioperative Outcomes Using the da Vinci S, Si, X, and Xi Robotic Platforms for BABA Robotic Thyroidectomy

Background and Objectives: Robotic thyroidectomy via the bilateral axillo-breast approach (BABA), first introduced in Korea in 2008, has become a standard method of thyroid removal worldwide. The introduction of robotic surgical systems has enabled more patients to benefit from BABA robotic thyroidectomy, with good postoperative and excellent cosmetic results. To date, no studies have compared the benefits of the four currently available da Vinci robotic systems (S, Si, X, and Xi) for BABA robotic thyroidectomy. To determine the da Vinci model most suitable for BABA robotic thyroidectomy, the present study compared the perioperative outcomes in patients who underwent BABA robotic thyroidectomy using the four da Vinci models. Materials and Methods: This retrospective study evaluated outcomes in patients (n = 750) who underwent BABA robotic thyroidectomy using the four da Vinci systems from 2013 to 2019. The clinicopathologic data, including operation time, were compared. Substudy A compared the da Vinci models S and Si from 2013 to 2017, and substudy B compared models Si, X, and Xi from 2018 to 2019. Results: Substudy A, comparing the da Vinci S and Si systems, found no statistically significant differences between the two groups, whereas substudy B found that operation time was shorter in patients who underwent BABA robotic thyroidectomy with the da Vinci Xi system than with the Si and X systems. Conclusions: The da Vinci model Xi system can benefit patients undergoing BABA robotic thyroidectomy by shortening the operation time.

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Colorectal Cancer Surgery Using the Da Vinci Xi and Si Systems: Comparison of Perioperative Outcomes

Surgical Innovation ◽

10.1177/1553350618816788 ◽

2018 ◽

Vol 26 (2) ◽

pp. 192-200 ◽

Cited By ~ 4

Author(s):

Yu-Min Huang ◽

Yan Jiun Huang ◽

Po-Li Wei

Keyword(s):

Colorectal Cancer ◽

Rectal Cancer ◽

Da Vinci ◽

Operation Time ◽

Robotic System ◽

Cancer Surgery ◽

Perioperative Outcomes ◽

Da Vinci Xi ◽

Colorectal Cancer Surgery ◽

Estimated Blood Loss

Purpose. Robotic surgery for colorectal cancer is an emerging technique. Potential benefits as compared with the conventional laparoscopic surgery have been demonstrated. However, experience with the previous da Vinci Si robotic system revealed several unsolved problems. The novel features of the new da Vinci Xi increase operational flexibility and maneuverability and are expected to facilitate the performance of multiquadrant surgery. Methods. Between December 2011 and May 2015, 120 patients with colon or rectal cancer were operated on using the Si robotic system (the Si group). Between May 2015 and October 2017, 60 more patients with colon or rectal cancer were operated on using the Xi robotic system (the Xi group). The clinicopathological characteristics and perioperative outcomes of these 2 groups of patients were compared. Results. The 2 groups of patients were comparable with regard to baseline clinical characteristics, types of resection performed, and the proportion of patients undergoing neoadjuvant chemoradiation therapy. The statuses of resection margin, the numbers of lymph nodes harvested, and the rates of postoperative complications were also similar between the 2 groups. Nevertheless, a lower rate of diverting ileostomy, a shorter operation time, less estimated blood loss, and a faster postoperative recovery was observed in the Xi group. Conclusions. Colorectal cancer surgery using the Xi robotic system was associated with improved perioperative outcomes. These benefits may be attributed to its improved, more user-friendly design.

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Detailed comparison of the da Vinci Xi and S surgical systems for transaxillary thyroidectomy

10.21203/rs.3.rs-25028/v1 ◽

2020 ◽

Author(s):

Da Young Yu ◽

Hye Yoon Lee ◽

Woo Young Kim ◽

Hoon Yub Kim ◽

Jae Bok Lee ◽

...

Keyword(s):

Complication Rate ◽

Da Vinci ◽

Operation Time ◽

Detailed Comparison ◽

Lymph Node Involvement ◽

Robotic Thyroidectomy ◽

Da Vinci Xi ◽

Node Involvement ◽

Central Lymph ◽

Transaxillary Thyroidectomy

Abstract Background Robotic surgical systems have evolved over time. The da Vinci Xi system was developed in 2014 and was expected to solve the shortcomings of the previous S system. Therefore, we conducted this study to compare these two systems and identify if the Xi system truly improves surgical outcomes. Methods In this retrospective study, a total of 86 patients with unilateral papillary thyroid carcinoma without central lymph node involvement underwent gasless transaxillary hemithyroidectomy using two robotic systems, the da Vinci S and Xi. Forty patients were in the da Vinci S group and 46 patients were in the da Vinci Xi group. All surgeries were performed by one surgeon (YWC). All surgery video files were analyzed to compare the duration of each surgical step. Results The total operation time was significantly shorter in the Xi group than in the S group (153.0 min vs. 105.7 min, p < 0.01). Time for robot docking was shorter in the Xi group (19.8 min vs. 10.6 min, p < 0.01), and all procedures performed in the console also required a shorter time in this group. The overall complication rate did not differ significantly (p = 0.464). Conclusions The da Vinci Xi system made robotic thyroidectomy easier and faster without increasing the complication rate. It is a safe and valuable system for robotic thyroidectomy.

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Initial Experience with Robotic Modified Radical Neck Dissection Using the da Vinci Xi System through the Bilateral Axillary Breast Approach

Clinical and Experimental Otorhinolaryngology ◽

10.21053/ceo.2020.01585 ◽

2020 ◽

Author(s):

yunsuk choi ◽

Yong Tae Hong ◽

Jin Wook Yi

Keyword(s):

Neck Dissection ◽

Da Vinci ◽

Radical Neck Dissection ◽

Operation Time ◽

Central Neck Dissection ◽

Robotic Thyroidectomy ◽

Da Vinci Xi ◽

Modified Radical Neck Dissection ◽

Bilateral Axillary Breast Approach ◽

Endocrine Surgeon

Objectives: The bilateral axillo-breast approach (BABA) to robotic thyroidectomy has been extended to modified radical neck dissection (MRND). This study assessed outcomes in patients who underwent robotic MRND through BABA using the da Vinci Xi system. Methods: The medical records of 40 patients who underwent total thyroidectomy, bilateral central neck dissection and MRND from September 2018 to March 2020 were reviewed retrospectively, including 12 who underwent robotic surgery and 28 who underwent open surgery. All operations were performed by a single endocrine surgeon. Results: Operation time was significantly longer in the robotic than in the open group (277.08

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Early Single-Center Experience with Robotic Partial Nephrectomy Using the da Vinci Xi: Comparative Assessment with Conventional Open Partial Nephrectomy

Current Urology ◽

10.1159/000499300 ◽

2019 ◽

Vol 13 (1) ◽

pp. 13-18 ◽

Cited By ~ 1

Author(s):

Daisuke Motoyama ◽

Ryota Aki ◽

Yuto Matsushita ◽

Keita Tamura ◽

Toshiki Ito ◽

...

Keyword(s):

Partial Nephrectomy ◽

Da Vinci ◽

Operative Procedure ◽

Surgical Margin ◽

Perioperative Outcomes ◽

Robotic Partial Nephrectomy ◽

Da Vinci Xi ◽

Ischemic Time ◽

Open Partial Nephrectomy ◽

Estimated Blood Loss

Background: The objective of this study was to evaluate our experience with robot-assisted partial nephrectomy (RAPN) in comparison with conventional open partial nephrectomy (OPN). Patients and Methods: This study included 37 and 50 patients undergoing OPN and RAPN for small renal masses, respectively. A single surgeon performed RAPN for all 50 cases using the da Vinci Xi. Trifecta was defined as satisfying all of the following 3 criteria: ischemic time of ≤ 25 minutes, negative surgical margin and no major postoperative complications. Results: After adjusting patient variables by 1:1 propensity-score matching, 37 patients were included in each group, and no significant differences in major clinicopathological characteristics were noted between these 2 groups. RAPN was significantly superior to OPN with respect to operative time, estimated blood loss and postoperative length of hospital stay. The rate of trifecta achievement was significantly higher in the RAPN group than in the OPN group (91.9 vs. 62.2%). Furthermore, the operative procedure and R.E.N.A.L. nephrometry score were found to be independently associated with trifecta outcome by multivariate analysis of the entire cohort. Conclusions: Although this is our early experience with 50 initial cases, RAPN using the da Vinci Xi resulted in more favorable perioperative outcomes than OPN.

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Transoral robotic thyroidectomy: a preclinical feasibility study using the da Vinci Xi platform

Journal of Robotic Surgery ◽

10.1007/s11701-016-0661-1 ◽

2017 ◽

Vol 11 (3) ◽

pp. 341-346 ◽

Cited By ~ 17

Author(s):

Jonathon O. Russell ◽

Salem I. Noureldine ◽

Mai G. Al Khadem ◽

Hamad A. Chaudhary ◽

Andrew T. Day ◽

...

Keyword(s):

Feasibility Study ◽

Da Vinci ◽

Robotic Thyroidectomy ◽

Da Vinci Xi

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Comparison of perioperative outcomes and technical features using da Vinci Si and Xi robotic platforms for early stages of endometrial cancer

Journal of Robotic Surgery ◽

10.1007/s11701-020-01091-6 ◽

2020 ◽

Author(s):

Andrea Giannini ◽

Elisa Malacarne ◽

Claudia Sergiampietri ◽

Paolo Mannella ◽

Alessandra Perutelli ◽

...

Keyword(s):

Endometrial Cancer ◽

Da Vinci ◽

Perioperative Outcomes ◽

Early Stages ◽

Robotic Platforms ◽

Technical Features ◽

Da Vinci Si

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A Historical Review of Medical Robotic Platforms

Journal of Robotics ◽

10.1155/2021/6640031 ◽

2021 ◽

Vol 2021 ◽

pp. 1-13

Author(s):

Tirth Ginoya ◽

Yaser Maddahi ◽

Kourosh Zareinia

Keyword(s):

Review Paper ◽

Da Vinci ◽

Historical Review ◽

Robotic Systems ◽

Medical Procedures ◽

Medical Robots ◽

History Of ◽

Robotic Platforms ◽

Surgical System

This paper provides a brief history of medical robotic systems. Since the first use of robots in medical procedures, there have been countless companies competing to developed robotic systems in hopes to dominate a field. Many companies have succeeded, and many have failed. This review paper shows the timeline history of some of the old and most successful medical robots and new robotic systems. As the patents of the most successful system, i.e., Da Vinci® Surgical System, have expired or are expiring soon, this paper can provide some insights for new designers and manufacturers to explore new opportunities in this field.

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Low Anterior Resection of Rectal Cancer and Vaginal Specimen Extraction with Da Vinci Xi

10.20944/preprints201812.0244.v1 ◽

2018 ◽

Author(s):

Tuğrul Çakır ◽

Arif Aslaner

Keyword(s):

Rectal Cancer ◽

Anterior Resection ◽

Low Anterior Resection ◽

Da Vinci ◽

Loop Ileostomy ◽

Colorectal Anastomosis ◽

Operation Time ◽

Da Vinci Xi ◽

Specimen Extraction ◽

First Case

Introduction: Novel robotic surgery systems (da Vinci Xi) are superior to classical open and laparoscopic techniques with its clear and three-dimensional view. We aimed to present the first case low anterior resection of rectal cancer and vaginal specimen extraction with Da Vinci Xi.Case: A 75-year-old female patient with rectum adenocarcinoma was undergone robotic-assisted low anterior resection (LAR) of the rectum, vaginal removal of the specimen, colorectal anastomosis and loop ileostomy. The operation time was 190 minutes. There were no postoperative complications. Pathological tumor stage was stage pT1N0 with negative proximal, distal and radial resection margins. The patient was discharged on the third postoperative day.Conclusion: Robot-assisted LAR, total mesorectal excision, vaginal removal of the specimen, colorectal anastomosis, and loop ileostomy can be performed easily and safely with Da Vinci Xi at early stage rectal cancer. And the vaginal extraction of the specimen avoids us from a traditional abdominal incision.

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