Robotic Surgery: New Robots and Finally Some Real Competition!

Overview

Journal World J Urol

Specialty Urology

Date 2018 Feb 11

PMID 29427003

Citations 46

Authors

Pradeep P Rao

Affiliations

Soon will be listed here.

Abstract

Purpose: For the last 20 years, the predominant robot used in laparoscopic surgery has been Da Vinci by Intuitive Surgical. This monopoly situation has led to rising costs and relatively slow innovation. This article aims to discuss the two new robotic devices for laparoscopic surgery which have received regulatory approval for human use in different parts of the world.

Materials: A short description of the Senhance Surgical Robotic System and the REVO-I Robot Platform and their pros and cons compared to the Da Vinci system is presented. A discussion about the differences between the three robotic systems now in the market is presented, as well as a short review of the present state of robotic assistance in surgery and where we are headed.

Citing Articles

A Case of Transanal Total Mesorectal Excision Using the Senhance Digital Laparoscopy System for Rectal Cancer.

Ishiyama Y, Hirano Y, Minagawa Y, Yamato M, Akuta S, Nakanishi A Surg Case Rep. 2025; 11(1).

PMID: 39991492 PMC: 11842874. DOI: 10.70352/scrj.cr.24-0024.

Initial experience with the Carina™ platform in robotic-assisted hysterectomy for gynecological malignant disease.

Liu Y, Zhao Z, Xu P, Li Y, Chang W, Ji M Surg Endosc. 2025; .

PMID: 39966128 DOI: 10.1007/s00464-025-11588-6.

Speech-mediated manipulation of da Vinci surgical system for continuous surgical flow.

Kim Y, Shim J, Gimm G, Kang S, Rhee W, Lee J Biomed Eng Lett. 2025; 15(1):117-129.

PMID: 39781059 PMC: 11704117. DOI: 10.1007/s13534-024-00429-5.

Comparison of short- and mid-term outcomes between the Senhance digital laparoscopic system and laparoscopic colectomy: a propensity score matching study.

Fujii T, Hirano Y, Ishiyama Y, Yamato M, Akuta S, Yoshizawa M Surg Endosc. 2024; 39(2):1153-1159.

PMID: 39715957 DOI: 10.1007/s00464-024-11482-7.

Recent Advances in Robotic Surgery for Urologic Tumors.

Hong S, Qin B Medicina (Kaunas). 2024; 60(10).

PMID: 39459360 PMC: 11509350. DOI: 10.3390/medicina60101573.

References

Cole A, Trinh Q, Sood A, Menon M . The Rise of Robotic Surgery in the New Millennium. J Urol. 2016; 197(2S):S213-S215. DOI: 10.1016/j.juro.2016.11.030. View

Fanfani F, Restaino S, Gueli Alletti S, Fagotti A, Monterossi G, Rossitto C . TELELAP ALF-X Robotic-assisted Laparoscopic Hysterectomy: Feasibility and Perioperative Outcomes. J Minim Invasive Gynecol. 2015; 22(6):1011-7. DOI: 10.1016/j.jmig.2015.05.004. View

Gidaro S, Buscarini M, Ruiz E, Stark M, Labruzzo A . Telelap Alf-X: a novel telesurgical system for the 21st century. Surg Technol Int. 2012; 22:20-5. View

Herrell S, Webster R, Simaan N . Future robotic platforms in urologic surgery: recent developments. Curr Opin Urol. 2013; 24(1):118-26. PMC: 4057036. DOI: 10.1097/MOU.0000000000000015. View

Lim J, Lee W, Park D, Yea H, Kim S, Kang C . Robotic cholecystectomy using Revo-i Model MSR-5000, the newly developed Korean robotic surgical system: a preclinical study. Surg Endosc. 2016; 31(8):3391-3397. DOI: 10.1007/s00464-016-5357-0. View

Rassweiler J, Autorino R, Klein J, Mottrie A, Goezen A, Stolzenburg J . Future of robotic surgery in urology. BJU Int. 2017; 120(6):822-841. DOI: 10.1111/bju.13851. View

Kim D, Park D, Rha K . Robot-assisted Partial Nephrectomy with the REVO-I Robot Platform in Porcine Models. Eur Urol. 2015; 69(3):541-2. DOI: 10.1016/j.eururo.2015.11.024. View

Bozzini G, Gidaro S, Taverna G . Robot-Assisted Laparoscopic Partial Nephrectomy with the ALF-X Robot on Pig Models. Eur Urol. 2015; 69(2):376-7. DOI: 10.1016/j.eururo.2015.08.031. View

Fanfani F, Monterossi G, Fagotti A, Rossitto C, Gueli Alletti S, Costantini B . The new robotic TELELAP ALF-X in gynecological surgery: single-center experience. Surg Endosc. 2015; 30(1):215-21. DOI: 10.1007/s00464-015-4187-9. View

10.

Abdel Raheem A, Troya I, Kim D, Kim S, Won P, Joon P . Robot-assisted Fallopian tube transection and anastomosis using the new REVO-I robotic surgical system: feasibility in a chronic porcine model. BJU Int. 2016; 118(4):604-9. DOI: 10.1111/bju.13517. View

11.

Stolzenburg J, Kyriazis I, Fahlenbrach C, Gilfrich C, Gunster C, Jeschke E . National trends and differences in morbidity among surgical approaches for radical prostatectomy in Germany. World J Urol. 2016; 34(11):1515-1520. DOI: 10.1007/s00345-016-1813-7. View