Rennes University Hospital: First public hospital equipped with new robotics

During the 19 days of gynecological and pelvic surgery, which takes place from 21 to 23 September 2022 at the Jacobin monastery in Rennes, two robots were presented to manufacturers who sell them. (© Brian Le Goff / News Rennes)

“The University Hospital of Rennes confirms its leadership in robotic surgery. It is under these conditions that the Rennes health institution announced this Wednesday, September 21, 2022, the arrival of two new operation robots.

Indeed, he has just acquired a third intuitive robot thanks to the foundation
Nominoë, Da Vinci X and Medtronic’s latest generation HugoTM Robotic Assisted Surgery System (RAS) is the first university hospital in France to be equipped with it.

First operation at the end of October

Commissioned on September 22, the HugoTM RAS systems robot is due to perform its first procedure at the end of October. The last one, a prostatectomy, will be preceded by a dress rehearsal.

A radical prostatectomy (or total prostatectomy) is a surgical procedure performed to treat prostate cancer. It consists in the complete removal of the prostate gland and seminal vesicles.

Cost 3 million euros

The introduction of these two robots, with the assistance of the cooperative of French hospital buyers UniHA, with a total value of 3 million euros, once again reflects the “dynamism of the institution and the excellence of the teams in terms of robotic surgery, technological innovation. and research” to provide patients with optimal care.

Vincent Lavouet, professor of gynecology-obstetrics at the Choux de Rennes in front of Hugo's robot.

Vincent Lavouet, Professor of Gynecology and Obstetrics at the University Hospital of Rennes, in front of the HugoTM RAS robot. (© Brian Le Goff / News Rennes)

Benefits for physicians…

For the surgeon, the high accuracy of these systems, combined with the wide range of instrument displacement and movement capabilities and high-quality 3D vision, contributes to the expansion of its use and the development of new surgical approaches.

The ergonomics of these systems also provide surgeons and the surgical team with a real improvement in working comfort, as well as reduced fatigue, which is critical to quality patient care.

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Professor Vincent Lavouet of the University Hospital of Rennes, a specialist in gynecology and obstetrics, sees in these robots, which are increasingly appearing in surgical practice, a healthy intermediary compared to what was done before. Like laparoscopy, a surgical method that allows you to view the inside of the abdominal or pelvic cavity through a small hole in the wall of the abdominal cavity and intervene in the organs.

This technique simply allowed us to insert instruments into the patient’s body without being able to articulate them the way we wanted. Now, with robots, these much-needed joints are possible.

Prof. Vincent Lavue, Specialist in Gynecology and Obstetrics at the University Hospital of Rennes

For him, innovation will continue, and he hopes that in a few years he will be able to work with augmented reality, “that is, we can have a copy of the scanner of the part of the body that we operate on in a live image that we see thanks to the robot and, in this way , we intervene in it with even greater precision.

… as for patients

For patients with smaller holes made in the body, less bleeding during surgery and less post-operative pain are favorable indicators of a shorter recovery period and an earlier return to activity due to faster healing of small wounds.

Published studies clearly illustrate what the establishment is seeing in terms of reducing hospital stays and limiting side effects.

Vincent Lavouet, professor of gynecology and obstetrics at the Chou de Rennes hospital, in front of the Da Vinci X robot.

Vincent Lavouet, professor of gynecology and obstetrics at the Chou de Rennes hospital, in front of the Da Vinci X robot. (© Brian Le Goff / News Rennes)

How many robots are in CHU?

Thus, the CHU robotic surgery platform currently includes four telemanipulator-type surgical robots in addition to a neurosurgery robot and an interventional neuroradiology support robot, and other systems are being considered in the near future.

Robotic surgery at NC in numbers

– 4 telemanipulator surgical robots purchased since 2010
– 6 disciplines use robotic surgery: urology, gynecology, digestion,
thoracic, ENT, pediatrics
– 5,000 patients receiving care at Rennes University Hospital underwent surgery.
– Of the 32,872 surgical procedures performed at the University Hospital in 2021, 731 were performed using robots.
o 360 in urology.
about 90 digestive.
about 62 in the thoracic region.
o 181 in gynecology.
o 36 in pediatrics.
about 2 in ENT.
– About 50 teams from other institutions were invited and trained in the use of these robots at the University Hospital of Rennes, and about fifteen training courses were held.
provided support and expertise in other hospital sites.
– 51 scientific publications.

Thus, the institution remains one of the best equipped hospitals in France.

Robotics in the CUB is also:

  • Rosa (Medtech), acquired in May 2017, this neurosurgical robot is paired with an O’ARM intraoperative 3D imaging device. Designed for minimally invasive surgery on the skull and spine, this equipment improves the accuracy of surgical procedures and reduces surgery time.
  • R-One (Robocath), used by CHU for nearly a year in partnership with Philips, this interventional neuroradiology platform is the subject of a research and development contract between CHU and Robocath aimed at expanding the indications of this technology to assist interventional gestures in neurovascular.
  • Robotol (Collin Médical), a technology that assists in the insertion of implant electrodes.
    Cochlear will become part of the university hospital by 2023. Again, this acquisition is based on a partnership approach focused not only on service quality but also on learning, research and innovation.

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