Feasibility of the set-up for the different approaches in robotic head and neck surgery with the Versius Surgical System

Introduction: The Versius Surgical System is a next generation soft-tissue robot with instrument and endoscope arms split into individual modules. Despite its similarities with previous systems, the basic changes in the design raise concerns relating to the feasibility of the set-up for the different approaches in robotic head and neck surgery procedures. Materials and Methods. We used a complete unit with a surgeon´s console and four modules on a training mannequin to depict the different configurations in the operating room. We tested transoral robotic surgery and the four basic configurations for the remote access to the neck: transoral/transvestibular, retroauricular, axillary and bilateral axillo-breast approaches. Results. We obtained a high quality simulation for transoral robotic surgery, as well as for the usual remote access approaches, except for the axillary approach. We were able to obtain an optimal distribution of the modules around the surgical table and an adequate configuration of the joints allowing the instruments to reach their targets. Conclusion. The Versius Surgical System might be an alternative device for robotic procedures in Head and Neck Surgery, although this needs to be proved in a clinical setting.