V09-02 Initial Experience of New Surgical Assist Robot “Saroa” With Haptic Feedback and Roll-Clutch System: Insights From the Jikei University Kashiwa Hospital

You have accessJournal of UrologyProstate Oncology/Penile & Testis Oncology/Misc. Oncology I (V09)1 May 2024V09-02 INITIAL EXPERIENCE OF NEW SURGICAL ASSIST ROBOT "SAROA" WITH HAPTIC FEEDBACK AND ROLL-CLUTCH SYSTEM: INSIGHTS FROM THE JIKEI UNIVERSITY KASHIWA HOSPITAL Kosuke Iwatani, Shun Saito, Shota Kawano, Tomoya Yamasaki, Hideo Otsuki, Takahiro Kimura, Kei Fujio, and Jun Miki Kosuke IwataniKosuke Iwatani , Shun SaitoShun Saito , Shota KawanoShota Kawano , Tomoya YamasakiTomoya Yamasaki , Hideo OtsukiHideo Otsuki , Takahiro KimuraTakahiro Kimura , Kei FujioKei Fujio , and Jun MikiJun Miki View All Author Informationhttps://doi.org/10.1097/01.JU.0001009528.33572.9e.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic assistance in urologic surgery has been a significant advancement, enhancing precision and reducing invasiveness. Saroa (Surgical assist Robot by air) is a novel Japanese-developed surgical robot designed to aid in minimally invasive procedures. Notably, Saroa's design integrates air pressure-driven technology enabling haptic feedback, which could revolutionize surgical tactile sensation. This abstract presents the world's first series of robotic-assisted laparoscopic radical prostatectomies utilizing Saroa, focusing on its unique capabilities and surgical outcomes. METHODS: We conducted a case series of 6 robot assisted laparoscopic radical prostatectomy(RALP) at the Jikei University Kashiwa Hospital using the Saroa system. We focused on the system's distinct features, including its three-arm configuration, which is one less than traditional surgical robots, and its ability to perform operations with minimal wrist rotation via the "roll clutch" mechanism. Comparative data were gathered against conventional robotic surgery outcomes, assessing operative time, safety, and the incidence of complications. RESULTS: Although there was a slight increase in surgical time with Saroa compared to conventional methods, no complications were observed, indicating a safe transition to this new technology. The haptic feedback allowed by air pressure operation may have contributed to the precision and safety of the procedures. CONCLUSIONS: The introduction of the Saroa system into urologic robotic surgery has shown promise, with safety and the novel haptic feedback mechanism being its standout features. While there is a learning curve evident in the increased operative time, the absence of complications suggests that Saroa is a viable and safe alternative to traditional robotic systems. Further studies with larger sample sizes are warranted to confirm these preliminary findings and to explore the benefits of its unique roll clutch mechanism. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e635 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Kosuke Iwatani More articles by this author Shun Saito More articles by this author Shota Kawano More articles by this author Tomoya Yamasaki More articles by this author Hideo Otsuki More articles by this author Takahiro Kimura More articles by this author Kei Fujio More articles by this author Jun Miki More articles by this author Expand All Advertisement PDF downloadLoading ...