A Comparative Analysis Of Competitors In The Field Of Laparoscopic Robotic Surgery
DOI:
https://doi.org/10.58445/rars.2789Keywords:
Laparoscopic Robotic Surgery, Robotic-assisted surgery (RAS), Surgical roboticsAbstract
Robotic-assisted surgery is the future of laparoscopic surgery. However, due to the rising number of systems on the market, this paper aims to inform potential buyers of an RAS about the characteristics and strengths of select industry competitors. Robotic surgery is a type of surgery that uses robotic-assisted surgery (RAS) systems to perform procedures with increased precision. Specifically, this paper aims to analyze three surgical robots and 1 mechanical system using various metrics to evaluate their overall performance and accessibility. These platforms, ranging from hundreds to millions of dollars, include modular robotics systems and handheld purely mechanical systems. I hope to provide a basis for prospecting organizations considering the acquisition of an RAS to improve patient care while balancing constraints such as cost and space.
References
Moore, E. (2018, November 23). Robotic surgery | medical technology. Encyclopedia Britannica. https://www.britannica.com/science/robotic-surgery#ref1225036
Da Vinci XI. (2023). Intuitive.com. https://www.intuitive.com/en-us/products-and-services/da-vinci/xi
Rivero-Moreno, Y., Echevarria, S., Vidal-Valderrama, C., Pianetti, L., Cordova-Guilarte, J., Navarro-Gonzalez, J., Acevedo-Rodríguez, J., Dorado-Avila, G., Osorio-Romero, L., Chavez-Campos, C., & Acero-Alvarracín, K. (2023). Robotic surgery: A comprehensive review of the literature and current trends. Cureus, 15(7). https://doi.org/10.7759/cureus.42370
CMR Surgical. (2022). CMR Surgical. https://us.cmrsurgical.com/
FlexDex Surgical – The MIS Device that Moves Like You. (n.d.). Retrieved July 9, 2025, from https://flexdex.com/
Robotic-Assisted Surgery (RAS). (2015). Medtronic.com. https://www.medtronic.com/en-us/healthcare-professionals/specialties/surgical-robotics/robotic-assisted-surgery.html
Shrader, T. (2024). How Much is a Surgical Robot? R2surgical.com. https://r2surgical.com/blogs/news/how-much-is-a-new-surgical-robot
FlexDex featured on MIT Tech Review, U-M, Huffington Post, NBC, front page of NSF – Mechanical Engineering. (2017). Umich.edu. https://me.engin.umich.edu/news-events/news/flexdex-featured-mit-tech-review-u-m-huffington-post-nbc-front-page-nsf/
Turchetti, G., Palla, I., Pierotti, F., & Cuschieri, A. (2011). Economic evaluation of da Vinci-assisted robotic surgery: a systematic review. Surgical Endoscopy, 26(3), 598–606. https://doi.org/10.1007/s00464-011-1936-2
Da Vinci Learning. (2023). Intuitive.com. https://www.intuitive.com/en-us/products-and-services/da-vinci/learning
Versius Surgical System. (2024, July 2). Hcahealthcare.co.uk. https://www.hcahealthcare.co.uk/about-us/pioneering-treatments-and-technology/our-robotics-and-technology/versius-surgical-system
Nanalyze. (2020, February 28). CMR Surgical Deploys Its Surgical Robotic System Versius - Nanalyze. Nanalyze - a Community of Sensible Investors. https://www.nanalyze.com/2020/02/cmr-surgical-robotic-system/
Plew, Sgt. M. (2018, October 31). Surgeon innovates with FlexDex. Air Force Medical Service. https://www.airforcemedicine.af.mil/News/Display/Article/1677330/surgeon-innovates-with-flexdex/
Yu, J., Wang, Y., Li, Y., Li, X., Li, C., & Shen, J. (2014). The safety and effectiveness of Da Vinci surgical system compared with open surgery and laparoscopic surgery: a rapid assessment. Journal of Evidence-Based Medicine, 7(2), 121–134. https://doi.org/10.1111/jebm.12099
FDA. (2023, November 21). DE Novo CLASSIFICATION REQUEST FOR VERSIUS SURGICAL SYSTEM. https://www.accessdata.fda.gov/cdrh_docs/reviews/DEN230078.pdf
Gueli Alletti, S., Chiantera, V., Arcuri, G., Gioè, A., Oliva, R., Monterossi, G., Fanfani, F., Fagotti, A., & Scambia, G. (2022). Introducing the New Surgical Robot HUGOTM RAS: System Description and Docking Settings for Gynecological Surgery. Frontiers in Oncology, 12. https://doi.org/10.3389/fonc.2022.898060
Prata, F., Ragusa, A., Tempesta, C., Iannuzzi, A., Tedesco, F., Cacciatore, L., Raso, G., Civitella, A., Tuzzolo, P., Calle, P., Pira, M., Pino, M., Ricci, M., Fantozzi, M., Prata, S. M., Umberto Anceschi, Simone, G., Scarpa, R., & Papalia, R. (2023). State of the Art in Robotic Surgery with Hugo RAS System: Feasibility, Safety and Clinical Applications. Journal of Personalized Medicine, 13(8), 1233–1233. https://doi.org/10.3390/jpm13081233
Tan, Y. P. A., Liverneaux, P., & Wong, J. K. F. (2018). Current Limitations of Surgical Robotics in Reconstructive Plastic Microsurgery. Frontiers in Surgery, 5. https://doi.org/10.3389/fsurg.2018.00022
Antonelli, A., Veccia, A., Malandra, S., Rizzetto, R., De Marco, V., Baielli, A., Franceschini, A., Fumanelli, F., Montanaro, F., Palumbo, I., Pettenuzzo, G., Roggero, L., Angela Cerruto, M., Bertolo, R., & Collaborators. (2024). Intraoperative Performance of DaVinci Versus Hugo RAS During Radical Prostatectomy: Focus on Timing, Malfunctioning, Complications, and User Satisfaction in 100 Consecutive Cases (the COMPAR-P Trial). European Urology Open Science, 63, 104–112. https://doi.org/10.1016/j.euros.2024.03.013
Intuitive Surgical. (2025). Extended Use Program for da Vinci X/Xi Instruments. Intuitive.com. https://www.intuitive.com/en-us/about-us/company/instruments-program-notice
Carneiro, A., & Guilherme Miranda Andrade. (2023). Technology description, initial experience and first impression of HUGOTM RAS robot platform in urologic procedures in Brazil. PubMed, 49(6), 763–774. https://doi.org/10.1590/s1677-5538.ibju.2023.9910
Brownlee, E. M., & Slack, M. (2022). The Role of the Versius Surgical Robotic System in the Paediatric Population. Children, 9(6), 805. https://doi.org/10.3390/children9060805
Intuitive Surgical. (2023, July). Is da Vinci robotic-assisted surgery worth it? Intuitive.com. https://www.intuitive.com/en-us/-/media/ISI/Intuitive/Pdf/Da-Vinci-Total-Cost-to-Treat.pdf
Giulioni, C., Castellani, D., Vuong, N.-S., Riviere, J., Piechaud-Kressmann, J., Lopez, L. H., Thierry Piechaud, Roche, J.-B., Rouffilange, J., Jean-Luc Hoepffner, Galosi, A. B., Gaston, R. P., & Pierquet, G. (2024). Outcomes of lateral approach in robot-assisted radical prostatectomy: insights from a single-surgeon experience. Journal of Robotic Surgery, 18(1). https://doi.org/10.1007/s11701-023-01772-y
Jimenez-Rodriguez, R. M., Quezada-Diaz, F., Tchack, M., Emmanouil Pappou, Wei, I. H., J. Joshua Smith, Nash, G. M., Guillem, J. G., Paty, P. B., Weiser, M. R., & Garcia-Aguilar, J. (2018). Use of the Xi robotic platform for total abdominal colectomy: a step forward in minimally invasive colorectal surgery. Surgical Endoscopy, 33(3), 966–971. https://doi.org/10.1007/s00464-018-6529-x
Ou, Y., Ou, H., Juan, Y., Narasimhan, R., Alexandre Mottrie, Weng, W., Hu, L., Lin, Y., Hsu, C., Yang, C., & Tung, M. (2023). Robot‐assisted radical prostatectomy using hugo RAS system: The pioneer experience in Taiwan and Northeast Asia. International Journal of Medical Robotics and Computer Assisted Surgery. https://doi.org/10.1002/rcs.2577
Arroyo, A., Sánchez-Romero, A., Álvaro Soler-Silva, Quinto, S., López-Rodríguez-Arias, F., Alcaide, M.-J., Mónica Serrano-Navidad, Miranda, E., José-Luis Muñoz, & Sánchez-Guillén, L. (2024). Utility guideline and considerations for the novel HugoTM RAS (robotic-assisted surgery) system in colorectal surgery: surgical outcomes and initial experience in a tertiary center. International Journal of Colorectal Disease, 39(1). https://doi.org/10.1007/s00384-024-04715-7
Rocco, B., Turri, F., Sangalli, M., Assumma, S., Piacentini, I., Grasso, A., Dell’Orto, P., Calcagnile, T., Sarchi, L., Bozzini, G., & Sighinolfi, M. C. (2023). Robot-assisted Radical Prostatectomy with the Versius Robotic Surgical System: First Description of a Clinical Case. European Urology Open Science, 48, 82–83. https://doi.org/10.1016/j.euros.2022.11.019
Dixon, F., O’Hara, R., Ghuman, N., Strachan, J., Khanna, A., & Keeler, B. D. (2020). Major colorectal resection is feasible using a new robotic surgical platform: the first report of a case series. Techniques in Coloproctology, 25(3), 285–289. https://doi.org/10.1007/s10151-020-02366-8
Cleveland Clinic. (2022, October 9). Prostatectomy: Purpose, types, procedure, risks & recovery. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/24294-prostatectomy
Trotter, I. (2025, March 14). Recovery after bowel resection: What to expect from a surgeon’s perspective. Northeast Georgia Health System. https://www.nghs.com/2025/03/13/recovery-after-bowel-resection-what-to-expect-from-a-surgeons-perspective
Claudia González Alfano, Marcio Covas Moschovas, Montagne, V., Soto, I., Porter, J. I., Patel, V., Ureña, R., & Bodden, E. (2023). Implementation and outcomes of HugoTM RAS System in robotic-assisted radical prostatectomy. International Braz J Urol, 49(2), 211–220. https://doi.org/10.1590/s1677-5538.ibju.2023.9902
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