Robot-assisted surgery in a multidisciplinary clinic: experience of over 9,000 operations

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.