Implementation of a new modular robotic platform in anatomic lung resection with a triportal robotic-assisted technique: Technical issues

Twenty years after the launch of the Da Vinci surgical system, new companies have entered the market of robotic surgical systems. British MedTech CMR Surgical (CMR Surgical) is emerging as a potential competitor to Intuitive, having developed a new modular robotic surgical system, Versius, based on the needs and feedback of surgeons and surgical teams. The system comprises a surgeon console and up to 4 robotic arms (bedside unit [BSU]) and is characterized by small size and ease of mobilization. The console is open with a 3-dimensional vision support (Figure E1) and is designed to facilitate communication with the operating room, and the wheeled, lightweight BSU is mobile (Figure E2). As energy devices, monopolar hook and bipolar forceps are available, along with grasping instruments (Figure E3). At this time, staplers or clippers have not been integrated into the system. The Cà Granda Foundation was among the first centers worldwide to introduce the Versius platform in thoracic surgery. After performing more than 80 anatomic lung resections, here we describe the Versius surgical technique used in our department to perform robotic-assisted lobectomies and segmentectomies.