Experience of the first in Russia gastrectomy on the Versius robotic system

This article presents a clinical case of robot-assisted gastrectomy with D2-lymphodissection in a patient with persternal squamous cell gastric cancer performed using the new Versius surgical system (CMR Surgical). The technical aspects of the operation are described, including the steps of gastric mobilisation, lymphodissection and formation of a Roux esophagoenteroanastomosis. The total intervention time was 5 hours and 20 minutes, blood loss was 350 ml. The postoperative period was without complications, the patient was discharged on the 11th day. The advantages of the Versius system, such as modularity, improved ergonomics, 3D-visualisation and lower cost of consumables compared to analogues, are discussed. Its disadvantages, including limited availability of energy instruments, are highlighted, offset by the ability to be combined with conventional laparoscopy. The results confirm the safety and efficacy of the Versius system. It is concluded that its application in surgery of the cardioesophageal junction and stomach is promising.