Early clinical experience with the Carina robotic platform in urologic surgery
Abstract Objectives To evaluate the feasibility and safety of a new modular robotic surgical platform ‐ Carina Platform (Ronovo Surgical, Shanghai, China) in prostate and renal surgeries. Methods We performed 11 robot‐assisted radical prostatectomies (RARP) and 7 robot‐assisted partial nephrectomies...
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| Format: | Article |
| Language: | English |
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Wiley
2025-07-01
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| Series: | BJUI Compass |
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| Online Access: | https://doi.org/10.1002/bco2.70050 |
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| author | Hongkai Wang Dalong Cao Marcio Covas Moschovas Junlong Wu Beihe Wang Kun Chang Hui Wang Yun Zhu Bo Dai Yao Zhu Hailiang Zhang Vipul R. Patel Dingwei Ye |
| author_facet | Hongkai Wang Dalong Cao Marcio Covas Moschovas Junlong Wu Beihe Wang Kun Chang Hui Wang Yun Zhu Bo Dai Yao Zhu Hailiang Zhang Vipul R. Patel Dingwei Ye |
| author_sort | Hongkai Wang |
| collection | DOAJ |
| description | Abstract Objectives To evaluate the feasibility and safety of a new modular robotic surgical platform ‐ Carina Platform (Ronovo Surgical, Shanghai, China) in prostate and renal surgeries. Methods We performed 11 robot‐assisted radical prostatectomies (RARP) and 7 robot‐assisted partial nephrectomies (RAPN) using the novel Carina Platform at Fudan University Shanghai Cancer Center (Shanghai, China). The port placements, operating space setting, cart distances and patient positions for all surgeries were recommended according to the procedure cards developed by Ronovo Surgical. Outcomes include success rate (completion without conversion to laparoscopy or open surgery), docking time, total surgery time and safety evaluations such as estimated blood loss (EBL) and complications. Results The age of the patients ranged from 37 to 73 years, and the BMI ranged from 19.9 to 29.1 kg/m2. All operations were successfully completed without conversion to laparoscopy or extra port placement. For RARP, the mean docking time was 6.8 ± 5.6 min; the mean total surgery time was 156.3 ± 27.8 min; and mean EBL was 67.3 ± 39.2 ml. For RAPN, the mean docking time was 8.9 ± 1.6 min; the mean total surgery time was 146.0 ± 38.0 min; and mean EBL was 47.1 ± 7.6 ml. The mean warm ischemia time was 23.9 ± 6.7 min. There were no severe intraoperative or postoperative complications in 1‐month follow‐up. Conclusions This is the first clinical reporting outcomes of the Carina Platform in urologic procedures. The study provides evidence of feasibility and safety when performing RARP and RAPN with acceptable perioperative outcomes and minimal complications. |
| format | Article |
| id | doaj-art-6f84d0d6d3bf42a8898d3c1167c6f34c |
| institution | Kabale University |
| issn | 2688-4526 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj-art-6f84d0d6d3bf42a8898d3c1167c6f34c2025-08-20T03:56:49ZengWileyBJUI Compass2688-45262025-07-0167n/an/a10.1002/bco2.70050Early clinical experience with the Carina robotic platform in urologic surgeryHongkai Wang0Dalong Cao1Marcio Covas Moschovas2Junlong Wu3Beihe Wang4Kun Chang5Hui Wang6Yun Zhu7Bo Dai8Yao Zhu9Hailiang Zhang10Vipul R. Patel11Dingwei Ye12Department of Urology Fudan University Shanghai Cancer Center Shanghai ChinaDepartment of Urology Fudan University Shanghai Cancer Center Shanghai ChinaUrologic Oncology AdventHealth Global Robotics Institute Florida USADepartment of Urology Fudan University Shanghai Cancer Center Shanghai ChinaDepartment of Urology Fudan University Shanghai Cancer Center Shanghai ChinaDepartment of Urology Fudan University Shanghai Cancer Center Shanghai ChinaDepartment of Anesthesiology Fudan University Shanghai Cancer Center Shanghai ChinaOperating Room Fudan University Shanghai Cancer Center Shanghai ChinaDepartment of Urology Fudan University Shanghai Cancer Center Shanghai ChinaDepartment of Urology Fudan University Shanghai Cancer Center Shanghai ChinaDepartment of Urology Fudan University Shanghai Cancer Center Shanghai ChinaUrologic Oncology AdventHealth Global Robotics Institute Florida USADepartment of Urology Fudan University Shanghai Cancer Center Shanghai ChinaAbstract Objectives To evaluate the feasibility and safety of a new modular robotic surgical platform ‐ Carina Platform (Ronovo Surgical, Shanghai, China) in prostate and renal surgeries. Methods We performed 11 robot‐assisted radical prostatectomies (RARP) and 7 robot‐assisted partial nephrectomies (RAPN) using the novel Carina Platform at Fudan University Shanghai Cancer Center (Shanghai, China). The port placements, operating space setting, cart distances and patient positions for all surgeries were recommended according to the procedure cards developed by Ronovo Surgical. Outcomes include success rate (completion without conversion to laparoscopy or open surgery), docking time, total surgery time and safety evaluations such as estimated blood loss (EBL) and complications. Results The age of the patients ranged from 37 to 73 years, and the BMI ranged from 19.9 to 29.1 kg/m2. All operations were successfully completed without conversion to laparoscopy or extra port placement. For RARP, the mean docking time was 6.8 ± 5.6 min; the mean total surgery time was 156.3 ± 27.8 min; and mean EBL was 67.3 ± 39.2 ml. For RAPN, the mean docking time was 8.9 ± 1.6 min; the mean total surgery time was 146.0 ± 38.0 min; and mean EBL was 47.1 ± 7.6 ml. The mean warm ischemia time was 23.9 ± 6.7 min. There were no severe intraoperative or postoperative complications in 1‐month follow‐up. Conclusions This is the first clinical reporting outcomes of the Carina Platform in urologic procedures. The study provides evidence of feasibility and safety when performing RARP and RAPN with acceptable perioperative outcomes and minimal complications.https://doi.org/10.1002/bco2.70050blood lossclinical outcomedocking timemodular surgical robotrobot‐assisted partial nephrectomyrobot‐assisted radical prostatectomy |
| spellingShingle | Hongkai Wang Dalong Cao Marcio Covas Moschovas Junlong Wu Beihe Wang Kun Chang Hui Wang Yun Zhu Bo Dai Yao Zhu Hailiang Zhang Vipul R. Patel Dingwei Ye Early clinical experience with the Carina robotic platform in urologic surgery BJUI Compass blood loss clinical outcome docking time modular surgical robot robot‐assisted partial nephrectomy robot‐assisted radical prostatectomy |
| title | Early clinical experience with the Carina robotic platform in urologic surgery |
| title_full | Early clinical experience with the Carina robotic platform in urologic surgery |
| title_fullStr | Early clinical experience with the Carina robotic platform in urologic surgery |
| title_full_unstemmed | Early clinical experience with the Carina robotic platform in urologic surgery |
| title_short | Early clinical experience with the Carina robotic platform in urologic surgery |
| title_sort | early clinical experience with the carina robotic platform in urologic surgery |
| topic | blood loss clinical outcome docking time modular surgical robot robot‐assisted partial nephrectomy robot‐assisted radical prostatectomy |
| url | https://doi.org/10.1002/bco2.70050 |
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