Robot-assisted surgery in a multidisciplinary clinic: experience of over 9,000 operations
A. V. Shabunin,
Z. A. Bagateliya,
D. Yu. Pushkar,
D. N. Grekov,
P. A. Drozdov,
A. A. Karpov,
S. S. Lebedev,
K. B. Kolontarev,
I. L. Andreytsev,
M. M. Tavobilov,
E. I. Veliev,
V. N. Yakomaskin,
V. M. Kulushev,
E. M. Glotov,
V. A. Alimov,
R. E. Kuznetsov,
M. N. Aladin https://doi.org/10.18705/3034-7270-2025-1-2-21-31
Abstract
Robot-assisted surgery is an innovative, minimally invasive approach widely applied in modern clinical practice. This study summarizes the experience of the Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin in performing more than 9,000 robot-assisted operations since 2008. A retrospective analysis included data from 9,133 patients who underwent robot-assisted surgery using the da Vinci S/Si/Xi platforms in urology, abdominal surgery, and gynecology. Outcomes were assessed using the Clavien – Dindo classification, ISGPS classifications (for pancreatic surgery), and validated questionnaires. In abdominal surgery, 1,642 procedures were performed (45.2 % – on the colon, 19.8 % – on the stomach, 15 % – on the pancreas); the incidence of grade III–V complications ranged from 4.2 (colon) to 19.7 % for pancreatoduodenectomies. In thoracic surgery, 330 procedures were performed, with grade III–V complications occurring in 2.6–17.1 % of cases. In urology, radical prostatectomy predominated (n = 5,253), followed by partial nephrectomy (n = 934) and adenomectomy (n = 558). In gynecology, 416 procedures were performed; grade III– V complications occurred in 0–20.9 % of oncogynecology cases and 3.8 % in general gynecology. The experience of a multidisciplinary center demonstrates that robot-assisted surgery is safe and effective in urology, abdominal, thoracic surgery, and gynecology, providing comparable oncological radicality with lower invasiveness and faster recovery.
About the Authors
A. V. Shabunin
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Shabunin Alexey V. – Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Head of the Department of Surgery at the Russian Medical Academy of Continuous Professional Education, Director
Moscow
Z. A. Bagateliya
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Bagateliya Zurab A. – Doctor of Medical Sciences, Professor, First Deputy Director
Moscow
D. Yu. Pushkar
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Pushkar Dmitry Yu. – Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Head of the Moscow Urology Center
Moscow
D. N. Grekov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Grekov Dmitry N. – Candidate of Medical Sciences, Chief Physician
Moscow
P. A. Drozdov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Drozdov Pavel A. – Doctor of Medical Sciences, Deputy Director for Research
Moscow
A. A. Karpov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Karpov Alexey A. – Doctor of Medical Sciences, Deputy Chief Physician
Moscow
S. S. Lebedev
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Lebedev Sergey S. – Doctor of Medical Sciences, Deputy Chief Physician for Oncology
Moscow
K. B. Kolontarev
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Kolontarev Konstantin B. – Doctor of Medical Sciences, Professor, Deputy Head
Moscow
I. L. Andreytsev
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Andreytsev Igor L. – Doctor of Medical Sciences, Leading Researcher
Moscow
M. M. Tavobilov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Tavobilov Mikhail M. – Doctor of Medical Sciences, Associate Professor, Head of the Department of Hepatopancreatobiliary Surgery
Moscow
E. I. Veliev
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Veliev Evgeny I. – Doctor of Medical Sciences, Head of the Department of Oncourology No. 81
Moscow
V. N. Yakomaskin
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Yakomaskin Viktor N. – Candidate of Medical Sciences, Head of the Department of Thoracoabdominal Oncosurgery
Moscow
V. M. Kulushev
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Kulushev Vadim M. – Candidate of Medical Sciences, Head of the Department of Oncocoloproctology
Moscow
E. M. Glotov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Glotov Egor M. – Candidate of Medical Sciences, Head of the Department of Thoracic Surgery
Moscow
V. A. Alimov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Alimov Vladimir A. – Candidate of Medical Sciences, Head of the Department of Oncogynecology
Moscow
R. E. Kuznetsov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Kuznetsov Roman E. – Doctor of Medical Sciences, Professor, Head of the Department of Gynecology
Moscow
M. N. Aladin
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Health Department
Russian Federation
Russian Federation
Aladin Mark N. – Surgeon, Department of Liver and Pancreatic Surgery
Moscow
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Review
For citations:
Shabunin A.V., Bagateliya Z.A., Pushkar D.Yu., Grekov D.N., Drozdov P.A., Karpov A.A., Lebedev S.S., Kolontarev K.B., Andreytsev I.L., Tavobilov M.M., Veliev E.I., Yakomaskin V.N., Kulushev V.M., Glotov E.M., Alimov V.A., Kuznetsov R.E., Aladin M.N. Robot-assisted surgery in a multidisciplinary clinic: experience of over 9,000 operations. Russian surgical journal. 2025;1(2):21-31. (In Russ.) https://doi.org/10.18705/3034-7270-2025-1-2-21-31
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