Pd22-03 Assessing the Feasibility and Safety of the Toumai® Robotic System in Urologic Surgery: Initial Experience

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology I (PD22)1 May 2024PD22-03 ASSESSING THE FEASIBILITY AND SAFETY OF THE TOUMAI® ROBOTIC SYSTEM IN UROLOGIC SURGERY: INITIAL EXPERIENCE Gaurab Pokhrel, Shuanbao Yu, Haoke Zheng, Jin Tao, Yanfeng Fan, Yonghao Zhan, Biao Dong, and Xuepei Zhang Gaurab PokhrelGaurab Pokhrel , Shuanbao YuShuanbao Yu , Haoke ZhengHaoke Zheng , Jin TaoJin Tao , Yanfeng FanYanfeng Fan , Yonghao ZhanYonghao Zhan , Biao DongBiao Dong , and Xuepei ZhangXuepei Zhang View All Author Informationhttps://doi.org/10.1097/01.JU.0001009504.18450.e0.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The da Vinci robotic system is dominant in urology, emerging systems are expanding its applications and increasing affordability. We explore the potential of the Toumai® robotic system, a novel platform developed in China for urological procedures. METHODS: In this prospective study conducted at Zhengzhou University's first affiliated hospital, patients undergoing renal and prostatic surgery were consecutively enrolled and underwent surgery with the novel system. Toumai® [Shanghai MicroPort MedBot (Group) Co., Ltd.] is a master–slave system consisting of a closed console and a four-armed operation cart. Primary outcomes assessed were technical feasibility (conversion rate) and safety (perioperative complications), while secondary endpoints covered perioperative outcomes and short-term functional and oncologic results. RESULTS: Among the 20 patients enrolled, seventeen patients underwent various nephrectomy procedures and three underwent radical prostatectomy (Figure 1). There was no conversion to alternative surgical approach and a single (Clavien–Dindo grade ≥3b) complication occurred. The median operative time was 120, 140, and 210 minutes for partial nephrectomy, radical nephrectomy and radical prostatectomy respectively. Off clamp partial nephrectomy was performed in one case and the warm ischemia time in the remaining two case was eighteen minutes. The median docking time was 22 minutes for nephrectomy and 20 minutes for radical proctectomy, no major robotic malfunction was encountered. At six months follow-up, no tumor recurrence was recorded, renal function was well preserved and the continence status was satisfactory. CONCLUSIONS: We present the initial clinical utilization of Toumai® robotic platform. The novel system demonstrates promising outcomes in urological procedures, with favorable technical proficiency, safety and postoperative results. Download PPT Source of Funding: National Institute of Biomedical Imaging and Bioengineering of the National Institutes of Health under award numbers 1R01EB020610, and R21EB024707 © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e461 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Gaurab Pokhrel More articles by this author Shuanbao Yu More articles by this author Haoke Zheng More articles by this author Jin Tao More articles by this author Yanfeng Fan More articles by this author Yonghao Zhan More articles by this author Biao Dong More articles by this author Xuepei Zhang More articles by this author Expand All Advertisement PDF downloadLoading ...