A review of the history of robotics and experience of total robotic hysterectomy on versius robotic system in a tertiary care hospital in north India

Introduction and background: Robotic revolution has influenced all aspects of human life, the field of medicine is one of them. Robotic technology is the latest in surgical armamentarium that looks very promising. Versius is the next-generation robotic system, developed by a British private limited company CMR surgical, which has been useful in conducting over 1000 surgeries globally by November 2020 since its introduction in the year 2018. The aim of the present review article is to give an objective evaluation of robotic technology and to share our experience on total robotic hysterectomy with or without salpingo-ophorectomy using Versius robotic system. Methods: A review of the literature on robotics was undertaken using google search. Various studies describing the history and development of robots in the field of surgery were included in the present study. Epidemiological, clinical, laboratory, and radiological characteristics and intraoperative and follow-up data were obtained with data collection forms from electronic medical records and history given by six patients planned for hysterectomy with Versius robot admitted in PSRI Hospital, Delhi. All the patients had completed their family and they underwent Hysterectomy with or without bilateral salpingo-ophorectomy by Versius robotic system. Results: During the course of this study for seven patients who underwent total robotic hysterectomy with or without bilateral salpingoophorectomy average duration was 207 minutes and the indication for the surgery in five patients was abnormal uterine bleeding and in two patients it was postmenopausal bleeding. The average intraoperative blood loss was 120 ml. six out of seven patients were discharged the next day after the procedure. Conclusion: The evolution of robotic armamentarium in the surgical field is no doubt a milestone. We figured out that, robotic surgery can be highly advantageous with the learning curve and appropriate training and skill, along with proper patient selection. Versius robotic system is a revolution in the healthcare system, not only it is doctor friendly also it is patient-friendly too. For minimally invasive gynecologic surgery, Robot-assisted surgery provides an alternative surgical tool.