Florida Hospital Global Robotics Institute
New Technology: Laparoscopy & Robotics
Moderated Poster Session
Introduction & Objective : As the field of robotic surgery advances delivering a less invasive surgical option that decreases the morbidity associated with multiport laparoscopic and open surgery is at the forefront of most companies’ design efforts. Titan Medical Inc. (Toronto, Ontario) is developing a single port robotic platform (SPORT Surgical System) that can be utilized across multiple surgical specialties.
Methods : The SPORT Surgical System was installed at the Florida Hospital Nicholson Center training facility in Sept 2017 to conduct feasibility studies. To date, there have been 5 surgeons across 3 specialties who have used the single port technology to perform a variety of specialty-specific procedures on live animals.
Results : The 5 surgeons performed a total of 11 procedures on 9 live animals. The 3 specialties involved were urology, colorectal surgery and gynecology. All 3 of the urological surgeries performed were renal procedures. The first 2 procedures were attempted by 2 surgeons (attending and fellow). These procedures were attempted to assess feasibility and ease of port placement, as well as, assessment of the docking process. Once access was achieved, hilar dissection with identification and isolation of the renal artery, vein and ureter were completed. The 3rd urologic procedure was a partial nephrectomy which was completed with a cross clamp time of 12 minutes. After initial evaluation and usage of the SPORT Surgical System by the urology team other specialties became involved. Four separate procedures were performed by the colorectal surgeons. Two colectomies were completed without incident, 1 by a single surgeon and a combination of 2 surgeons for the 2nd. The other procedures performed were a low anterior resection and a cholecystectomy. The gynecologist completed 4 hysterectomies in total. The first 2 were simple hysterectomies with bilateral salpingo-oophorectomies and pelvic lymphadenectomies. The second 2 were radical hysterectomies with radically wide margins and pelvic/para-aortic lymphadenectomies. There were no conversions to open procedures or major complications in any of the procedures.
The SPORT Surgical System is a robotic single port platform that has been shown to be successful in the live animal model across several specialties. In our experience, multiple surgeries have been completed by multiple surgeons of varying experience with this developing technology. Further study and evaluation of more data points with eventual transition to the human model needs to be undertaken, but as of now the SPORT Surgical System by Titan Medical is proving to be a feasible and reliable advancement in the field of single incision robotic surgery.
Director of Clinical Outcomes
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