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Article

The Combination of Laparoscopic and Robotic Surgery: First Experience with the Dexter Robotic System™ in Visceral Surgery

by
Pernilla Virginia Conrad
1,*,
Anne-Sophie Mehdorn
1,
Ibrahim Alkatout
2,
Thomas Becker
1,
Jan Henrik Beckmann
1 and
Julius Pochhammer
1
1
Department of General, Visceral, Thoracic, Transplantation and Pediatric Surgery, University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany
2
Clinic for Gynecology and Obstetrics, University Medical Center Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany
*
Author to whom correspondence should be addressed.
Life 2024, 14(7), 874; https://doi.org/10.3390/life14070874
Submission received: 5 June 2024 / Revised: 3 July 2024 / Accepted: 9 July 2024 / Published: 12 July 2024
(This article belongs to the Special Issue Robot-Assisted Surgery: New Trends and Solutions)

Abstract

Introduction: For over two decades, abdominal surgical procedures have been safely performed robotically. After the first patent expiration, alternative robotic systems entered the market. The Dexter Robotic System™ is a small-format, modular, and robotic platform consisting of a surgeon’s console, two patient carts with instrument arms, and one endoscope arm. We report our initial experiences with Dexter since its installation at our visceral surgery department. Methods: The system and surgical setup are described. Demographic and perioperative data of all operated patients as well as the system docking times were analyzed. Results: From 56 procedures performed with Dexter, the most common ones included cholecystectomy (n = 15), inguinal hernia repair (TAPP; unilateral n = 15; bilateral n = 3), and right oncologic hemicolectomy (n = 15). The median docking time was 6 min (2–16 min) and was reduced to 4 min in the last tertile of procedures performed. Conclusions: In our experience, Dexter can be implemented without any major challenges, and visceral surgical procedures of simple to medium complexity can be performed safely. The simplicity and accessibility of the system along with the ease of switching between robotics and laparoscopy could be particularly suitable for beginners in robotic surgery
Keywords: robotic-assisted surgery; visceral surgery; minimally invasive surgery; Dexter robotic system; laparoscopy robotic-assisted surgery; visceral surgery; minimally invasive surgery; Dexter robotic system; laparoscopy

Share and Cite

MDPI and ACS Style

Conrad, P.V.; Mehdorn, A.-S.; Alkatout, I.; Becker, T.; Beckmann, J.H.; Pochhammer, J. The Combination of Laparoscopic and Robotic Surgery: First Experience with the Dexter Robotic System™ in Visceral Surgery. Life 2024, 14, 874. https://doi.org/10.3390/life14070874

AMA Style

Conrad PV, Mehdorn A-S, Alkatout I, Becker T, Beckmann JH, Pochhammer J. The Combination of Laparoscopic and Robotic Surgery: First Experience with the Dexter Robotic System™ in Visceral Surgery. Life. 2024; 14(7):874. https://doi.org/10.3390/life14070874

Chicago/Turabian Style

Conrad, Pernilla Virginia, Anne-Sophie Mehdorn, Ibrahim Alkatout, Thomas Becker, Jan Henrik Beckmann, and Julius Pochhammer. 2024. "The Combination of Laparoscopic and Robotic Surgery: First Experience with the Dexter Robotic System™ in Visceral Surgery" Life 14, no. 7: 874. https://doi.org/10.3390/life14070874

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