Early experience with the SHURUI single port serpentine arm robotic system with an auxiliary port in gastrointestinal surgery: a descriptive case series
- 1Department of General Surgery, Wenzhou People’s Hospital, The Third Clinical Institute Affiliated to Wenzhou Medical University , ,
Abstract
Background
The SHURUI single-port (SP) robotic system is a novel platform with serpentine instruments designed for reduced-access surgery. Clinical experience in gastrointestinal malignancies remains limited. This exploratory, descriptive case series reports initial technical experience with the SHURUI SP system in a consecutive series of gastric and colorectal cancer resections.Methods
This retrospective case series included six consecutive patients who underwent SP robotic gastrointestinal cancer surgery between November 2025 and December 2025 at a single tertiary center. Procedures comprised rectal cancer resection with total mesorectal excision (n = 2), left hemicolectomy (n = 1), right hemicolectomy with D2 lymphadenectomy (n = 1), distal gastrectomy with D2 lymphadenectomy (n = 1), and total gastrectomy with extended D2 lymphadenectomy (n = 1). All cases used a single periumbilical incision (3-4 cm) and a 12 mm auxiliary port for energy devices and staplers. Outcomes included operative parameters, complications (Clavien-Dindo), pathological metrics, and hospital costs.Results
All six procedures were completed without conversion. Median operative time was 332.5 min (155-402); median estimated blood loss was 70 mL (10-200). No intraoperative complications or transfusions occurred. Postoperative Grade II complications occurred in two patients (33.3%): anastomotic bleeding requiring transfusion and wound infection. Grade I transient fever occurred in two additional patients (33.3%). No Grade III-V complications, reoperations, or 30-day mortality occurred. All resections achieved R0 margins; median lymph node yield was 18.5 (12-28). Median hospital stay was 14 days (12-20). Mean total hospital cost was ¥30,573 ± ¥14,725, exclusive of robotic platform and instrument fees, which were waived during this initial evaluation period.Conclusions
In this initial series, the SHURUI SP robotic system achieved complete resection without conversion in all six cases. R0 resection was obtained in every case with no severe early complications; however, the small sample size precludes definitive safety assessment, and oncologic adequacy requires long-term follow-up. The system proved technically feasible for complex gastric and colorectal cancer resections, though the absence of an integrated energy channel necessitated an auxiliary port in all cases, and operative times reflected an early learning curve. Larger comparative studies with long-term follow-up are needed to define the role of this platform.
Related
- Uncoupled Auxiliary S2-Alar-Iliac Screws in Long Lumbopelvic Constructs: Exploratory Finite Element Analysis and Preliminary Clinical Experience
- Family caregivers’ experience in providing home-based palliative care: A descriptive phenomenological study
- Oxaliplatin desensitization for gastrointestinal cancer patients with hypersensitivity reactions: real-world experience from Vietnam
- Transoral thyroidectomy in a consecutive cancer-enriched cohort of 1–000 patients: a single-surgeon experience with endoscopic and robotic platforms
- Perspectives of those with lived and professional experience on vision rehabilitation and related supports in Ghana: a descriptive qualitative study
BibTeX
@article{yadav2026early,
title = {{Early experience with the SHURUI single port serpentine arm robotic system with an auxiliary port in gastrointestinal surgery: a descriptive case series}},
author = {Dipesh Kumar Yadav and Yuncheng Luo and Zhangwei Yang and Yi Huang and Hanzhang Huang and Sisi Lin and Min Li and Dandan Bao and Yiren Hu},
journal = {Frontiers in surgery},
year = {2026},
month = oct,
doi = {10.3389/fsurg.2026.1957028},
url = {https://europepmc.org/article/PMC/PMC13716767},
note = {CC BY},
}
RIS
TY - JOUR
TI - Early experience with the SHURUI single port serpentine arm robotic system with an auxiliary port in gastrointestinal surgery: a descriptive case series
AU - Dipesh Kumar Yadav
AU - Yuncheng Luo
AU - Zhangwei Yang
AU - Yi Huang
AU - Hanzhang Huang
AU - Sisi Lin
AU - Min Li
AU - Dandan Bao
AU - Yiren Hu
PY - 2026
DA - 2026/10/15
JO - Frontiers in surgery
DO - 10.3389/fsurg.2026.1957028
UR - https://europepmc.org/article/PMC/PMC13716767
AB - Background The SHURUI single-port (SP) robotic system is a novel platform with serpentine instruments designed for reduced-access surgery. Clinical experience in gastrointestinal malignancies remains limited. This exploratory, descriptive case series reports initial technical experience with the SHURUI SP system in a consecutive series of gastric and colorectal cancer resections.Methods This retrospective case series included six consecutive patients who underwent SP robotic gastrointestinal cancer surgery between November 2025 and December 2025 at a single tertiary center. Procedures comprised rectal cancer resection with total mesorectal excision (n = 2), left hemicolectomy (n = 1), right hemicolectomy with D2 lymphadenectomy (n = 1), distal gastrectomy with D2 lymphadenectomy (n = 1), and total gastrectomy with extended D2 lymphadenectomy (n = 1). All cases used a single periumbilical incision (3-4 cm) and a 12 mm auxiliary port for energy devices and staplers. Outcomes included operative parameters, complications (Clavien-Dindo), pathological metrics, and hospital costs.Results All six procedures were completed without conversion. Median operative time was 332.5 min (155-402); median estimated blood loss was 70 mL (10-200). No intraoperative complications or transfusions occurred. Postoperative Grade II complications occurred in two patients (33.3%): anastomotic bleeding requiring transfusion and wound infection. Grade I transient fever occurred in two additional patients (33.3%). No Grade III-V complications, reoperations, or 30-day mortality occurred. All resections achieved R0 margins; median lymph node yield was 18.5 (12-28). Median hospital stay was 14 days (12-20). Mean total hospital cost was ¥30,573 ± ¥14,725, exclusive of robotic platform and instrument fees, which were waived during this initial evaluation period.Conclusions In this initial series, the SHURUI SP robotic system achieved complete resection without conversion in all six cases. R0 resection was obtained in every case with no severe early complications; however, the small sample size precludes definitive safety assessment, and oncologic adequacy requires long-term follow-up. The system proved technically feasible for complex gastric and colorectal cancer resections, though the absence of an integrated energy channel necessitated an auxiliary port in all cases, and operative times reflected an early learning curve. Larger comparative studies with long-term follow-up are needed to define the role of this platform.
SN - 2296-875X
ER -