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TO PRESENT INITIAL CLINICAL EXPERIENCE IN GASTROINTESTINAL SURGERY USING SSI MANTRA™ ROBOTIC SURGICAL SYSTEM BY A SINGLE SURGEON
Sanjiv P. Haribhakti
*SUrgical Gastroenterology, Kaizen Hospital, Ahmedabad, Gujarat, India
ObjectiveTo present our initial clinical experience and outcomes for gastrointestinal surgical procedures performed using modular SSI Mantra™ robotic surgical system at a single center by a single surgeon. We evaluated the feasibility of these procedures with this innovative robotic platform and report the outcomes.
MethodsData from consecutive patients who underwent robotic or hybrid (robotic + laparoscopic) procedures using SSI Mantra™ at Kaizen Hospital, Ahmedabad, India between June 2024 and November 2024 were prospectively collected. The specific surgical parameters such as number of ports, arms and instruments, docking time, console time, procedure time, intraoperative events, postoperative morbidity and mortality for each procedure were documented.
ResultsA total of 75 patients were operated with the SSI Mantra™ system. The spectrum of procedures included Upper Gastrointestinal surgery(n=18), HPB surgery(n=28), colorectal(n=7), hernia(n=19), miscellaneous(n=3). Cases performed were robotic cholecystectomy(n=19; average(avg.) surgery duration 116 min; avg. console time 59 min), bilateral TAPP (n=11; avg. surgery duration 182 mins; avg. console time 50 min), Nissen’s fundoplication (n=8; avg. surgery duration 134 min; avg. console time 118 min), Toupet fundoplication (n=4; avg. surgery duration 167 mins; avg. console time 90 min), sleeve gastrectomy (n=3; avg. surgery duration 210 min; avg. console time 88.6min), eTEP RS (n=3; avg. surgery duration 257 mins; avg. console time 140 min), Whipple’s surgery (n=2; avg. surgery duration 720 min; avg. console time 627 min). Average docking time was 6.5 min (5.25-9.5 min). Mean age was 49.79 years (10-85 years). A total of 6 patients were converted, with 4 converted to laparoscopic surgery and 2 to open surgery, all due to disease-related factors. There were 4 minor(5.3%) and 2 major(2.6%) technical issues related to system dysfunction, which were resolved intraoperatively. There were no system-related intraoperative complications or injuries; also, no conversions were done due to system error. Surgical site infection occurred in 2 patients. 5 patients(6.6%) experienced morbidity, and 2 patients(2.6%) developed mortality related to disease factors.
ConclusionsThe SSI Mantra™ system shows considerable promise as an innovative robotic platform. In this single-center experience, we have highlighted feasibility of performing a wide range of GI procedures using this platform. However, further studies with larger patient cohorts are essential to refine surgical techniques and standardize them.
Keywords: SSI Mantra™, gastrointestinal surgery, indigenous robot, minimally invasive surgery, robotic surgery, patient outcome.
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