Search
What are you looking for?
Start main content

Press Releases

Press Releases

https://www.med.cuhk.edu.hk/press-releases/cuhk-successfully-conducted-the-world-s-first-multi-specialty-clinical-trial-using-the-next-generation-single-port-robotic-surgical-system
https://www.med.cuhk.edu.hk/press-releases/cuhk-successfully-conducted-the-world-s-first-multi-specialty-clinical-trial-using-the-next-generation-single-port-robotic-surgical-system
CUHK Successfully Conducted the World’s First Multi-Specialty Clinical Trial Using the Next Generation Single Port Robotic Surgical System

CUHK Successfully Conducted the World’s First Multi-Specialty Clinical Trial Using the Next Generation Single Port Robotic Surgical System

The Faculty of Medicine at The Chinese University of Hong Kong (CUHK) conducted the world’s first multi-specialty clinical trial using the “Single Port Minimally Invasive Robotic Surgical System”. More than 60 patients underwent single port robotic-assisted minimally invasive surgery (MIS) as part of this trial and demonstrated that multiple procedures could be performed through a single entry site. The novel system allows surgeons to reach deep spaces previously difficult to reach, like the nasopharynx and the hypopharynx, to carry out delicate procedures with precision.

 

CUHK Medicine successfully conducted the world’s first multi-specialty clinical trial using the next generation single port robotic surgical system. The study results demonstrated that multiple procedures could be performed through a single entry site and the novel system allows surgeons to reach deep spaces previously difficult to reach to carry out delicate procedures with precision. (From right) Professor James LAU, Chairman of the Department of Surgery; Professor Anthony NG, Division of Urology, Department of Surgery; Dr. Jason CHAN, Assistant Professor, Department of Otorhinolaryngology, Head and Neck Surgery; Professor Simon NG, Division of Colorectal Surgery, Department of Surgery; and Professor Philip CHIU, Director of the CUHK Jockey Club Minimally Invasive Surgical Skills Centre, of the Faculty of Medicine at CUHK.

CUHK Medicine successfully conducted the world’s first multi-specialty clinical trial using the next generation single port robotic surgical system. The study results demonstrated that multiple procedures could be performed through a single entry site and the novel system allows surgeons to reach deep spaces previously difficult to reach to carry out delicate procedures with precision. (From right) Professor James LAU, Chairman of the Department of Surgery; Professor Anthony NG, Division of Urology, Department of Surgery; Dr. Jason CHAN, Assistant Professor, Department of Otorhinolaryngology, Head and Neck Surgery; Professor Simon NG, Division of Colorectal Surgery, Department of Surgery; and Professor Philip CHIU, Director of the CUHK Jockey Club Minimally Invasive Surgical Skills Centre, of the Faculty of Medicine at CUHK.

 

The clinical trial results have provided valuable data for the introduction of the single port surgical robotic system for clinical use and the development for wider applications in multiple specialties. The success showcases that the clinical standard of the Faculty of Medicine at CUHK is recognised internationally and supported by a solid cross-disciplinary working team, comprising of multi-specialty surgeons, nurses and anaesthesiologists, who collaborated closely and effectively to perform and complete the clinical trial. It also reinforces the status of the Faculty as global research hub and training ground for MIS.

 

All instruments are incorporated in a single robotic arm that operates through a 2.5 cm cannula

MIS was introduced to the Faculty of Medicine at CUHK in June 1990. The aim of this surgical technology is to minimise the size of incisions, reduce trauma and pain suffered by patients, enable faster recovery and lower the risk of infection. It has become more commonly practised and advanced in Hong Kong and can be applied to the removal of gallstones, tumors of the gastrointestinal tract, adrenal gland and even hepatectomy. In 2005, minimally invasive robotic surgery was introduced in the Faculty. The multiport robotic-assisted system consists of 4 arms which are used to control the surgical instruments and the endoscopic camera that are placed in the surgical field via 4 pencil-sized “keyhole” incisions.

 

With the advancement of design and technology, the next generation of minimally invasive robotic-assisted surgical system only needs a single entry site for 3 instruments and a high-definition (HD) 3D camera operated through an incision or a natural orifice which enables the 2.5 cm system cannula to go through. The instruments can reach up to 24 cm and the robotic boom can rotate 360 degrees. Trained surgeons can control the instruments at the distal tip and view the superior HD 3D image of the operating field through the endoscope via the console. These features enable surgeons to perform complicated procedures with precision in narrow workspaces.

 

The surgical teams of the Faculty of Medicine at CUHK are recognised globally as the pioneer in developing Minimally Invasive Surgery.

The surgical teams of the Faculty of Medicine at CUHK are recognised globally as the pioneer in developing Minimally Invasive Surgery.

Professor Anthony NG simulates suture using the multi-port surgical robot.

Professor Anthony NG simulates suture using the multi-port surgical robot.

 

 

World’s first multi-specialty clinical trial proved the novel system is safe and feasible in performing MIS particularly through natural orifices

The Faculty of Medicine at CUHK conducted a clinical trial from 2016 to 2017 on the feasibility and safety of the “Single Port Minimally Invasive Robotic Surgical System” in three different surgical specialties, including Otorhinolaryngology, Head and Neck Surgery (ENT); Urology, and Colorectal Surgery. There were no device-assisted or serious adverse events in any cases. Details are as follows:

 

 Otorhinolaryngology,
Head and Neck Surgery (ENT)
UrologyColorectal Surgery
No. of cases undergoing single-port robotic-assisted surgery212022

 

Dr. Jason Ying Kuen CHAN, Assistant Professor, Department of Otorhinolaryngology, Head and Neck Surgery of the Faculty of Medicine at CUHK, stated, “Taking transoral robotic surgery as an example, the robotic arm of the new system allows truly minimally invasive access to previously more difficult to access sites including the nasopharynx, larynx and hypopharynx. The system makes it possible for the surgeon to better dissect critical neurovascular structures with the instruments and camera in a working space that is roughly the size of a tennis ball. We believe the advance in the technology offers a platform from which surgeons can develop novel approaches to handling cases, with minimal invasiveness, to facilitate patient recovery and minimise morbidity.”

 

After receiving the single-port robotic-assisted surgery to remove his colorectal tumor, Mr. CHUK’s (left) scar is hidden in the navel.

After receiving the single-port robotic-assisted surgery to remove his colorectal tumor, Mr. CHUK’s (left) scar is hidden in the navel.

Ms. Cheng (left) states that she could speak naturally after receiving the single-port robotic-assisted surgery to remove the tumor under her tongue.

Ms. Cheng (left) states that she could speak naturally after receiving the single-port robotic-assisted surgery to remove the tumor under her tongue.

 

For Urology and Colorectal Surgery, the low external profile of this new robotic platform and the possibility of deployment through a single access site can facilitate single port transabdominal surgery such as prostatectomy and colectomy, and natural orifice transluminal endoscopic surgery (NOTES) such as transanal robotic surgery. By minimising the number of external abdominal incisions, single port surgery and NOTES can theoretically reduce patient trauma, enhance recovery, and improve cosmesis. With natural orifice access (transoral and transanal), there may be no external incisions for some patients.

 

Professor Simon Siu Man NG, Professor from the Division of Colorectal Surgery, Department of Surgery of the Faculty of Medicine at CUHK, added, “Our Faculty was selected to conduct this clinical trial showcases that we are recognised globally as the pioneer in developing MIS. Our credible clinical team, involving surgeons, anaesthesiologists and nurses, are experienced in minimally invasive robotic surgical systems. This helps lay a strong and solid cross-disciplinary working structure to perform world-class clinical trials for the further development of robot-assisted MIS.” 

(Second from right) Professor James LAU, Chairman of the Department of Surgery, Faculty of Medicine at CUHK, points out that the clinical trial results provided valuable data for the introduction of the single port surgical robotic system for clinical use.

(Second from right) Professor James LAU, Chairman of the Department of Surgery, Faculty of Medicine at CUHK, points out that the clinical trial results provided valuable data for the introduction of the single port surgical robotic system for clinical use.

CUHK committed to enhancing medical technology and aims to be the global MIS training ground and research hub

In recent years, the Hong Kong Government has been committed to promoting innovation and technology (I&T). These extremely exciting developments include the establishment of I&T clusters on healthcare technologies, artificial intelligence and robotic technologies. In view of the potential of I&T development, CUHK has been actively involved in this process of driving innovation in medical technology through close collaborations among clinicians, engineers and entrepreneurs which develops new concepts and inventions in medical technology of which medical robotics is a key element.

 

Professor Philip Wai Yan CHIU, Director of the CUHK Jockey Club Minimally Invasive Surgical Skills Centre (MISSC), hopes the success in the clinical trial will not only enhance and drive the development of medical engineering research, but also help the introduction of the single port surgical robotic system for clinical application in Hong Kong. Professor CHIU stated, “Our clinical trial results have provided valuable data for the introduction of the single port surgical robotic system for clinical use. Certainly the system has a lot of potential applications in other specialties and more patients can benefit from the broader use of this robotic system.”

 

To train Hong Kong, mainland and regional surgeons in the robotic system and keep them up-to-date with the other current minimally invasive surgical techniques, MISSC has been upgrading its facilities. For example, it has upgraded the system for robotic training to the currently most advanced model in clinical applications.

 

Professor Anthony Chi Fai NG, Professor from the Division of Urology, Department of Surgery of the Faculty of Medicine at CUHK, as well as the Robotic Surgery Training Course Director at MISSC, said, “We hope that through the advances in minimally invasive surgery facilities, we can provide an ideal training setting for medical professionals in Hong Kong and neighbouring areas, and become a minimally invasive surgery training ground and research hub in the Asia-Pacific region and at the international level.”

More Press Releases

CUHK Successfully Performed World’s First Colorectal Endoscopic Submucosal Dissection  Using Flexible Endoscopic Robotic System

CUHK Successfully Performed World’s First Colorectal Endoscopic Submucosal Dissection Using Flexible Endoscopic Robotic System

Surgical advancement
CUHK Deepening Ties with World Leading Institutes for Transdisciplinary Medical Robotics Research to Reshape the Future of Diagnosis and Treatment

CUHK Deepening Ties with World Leading Institutes for Transdisciplinary Medical Robotics Research to Reshape the Future of Diagnosis and Treatment

International collaboration
CUHK and HKBU Launch Spermine Risk Score for Prostate Cancer Diagnosis

CUHK and HKBU Launch Spermine Risk Score for Prostate Cancer Diagnosis

Research
CUHK Identifies Outcome Indicators for Benign Prostatic Hyperplasia Patients Receiving Prostatic Artery Embolisation

CUHK Identifies Outcome Indicators for Benign Prostatic Hyperplasia Patients Receiving Prostatic Artery Embolisation

Research
CU Medicine Studies Highlight Smoking as a Contributing Factor for Bladder Cancer and  Develop an International Collaborative Consensus on En Bloc Resection to Treat the Disease

CU Medicine Studies Highlight Smoking as a Contributing Factor for Bladder Cancer and Develop an International Collaborative Consensus on En Bloc Resection to Treat the Disease

Research
CUHK-DGIST-ETH Zurich Establish Joint Laboratory on Nano-technology for Gastrointestinal and Cardiovascular Diseases

CUHK-DGIST-ETH Zurich Establish Joint Laboratory on Nano-technology for Gastrointestinal and Cardiovascular Diseases

International collaboration
CUHK Succeeds in Treating Gastroesophageal Reflux Disease by Implantable Pulse Generator

CUHK Succeeds in Treating Gastroesophageal Reflux Disease by Implantable Pulse Generator

Surgical advancement
CUHK Assessed and Treated Over 300 Young Ketamine Abusers with Urinary Tract Dysfunction Latest Research Reveals Effectiveness of Integrated Anti-inflammatory Therapy

CUHK Assessed and Treated Over 300 Young Ketamine Abusers with Urinary Tract Dysfunction Latest Research Reveals Effectiveness of Integrated Anti-inflammatory Therapy

Research
CU Medicine and International Surgeons Suggest Patients with Positive COVID-19 Results Should Delay Surgery for Seven Weeks to Reduce Death Risk

CU Medicine and International Surgeons Suggest Patients with Positive COVID-19 Results Should Delay Surgery for Seven Weeks to Reduce Death Risk

International collaboration
Results of the First 3,500 Participants of the CUHK Jockey Club Multi-Cancer Prevention Programme Demonstrate that “One-stop Multi-Cancer Screening” is Effective

Results of the First 3,500 Participants of the CUHK Jockey Club Multi-Cancer Prevention Programme Demonstrate that “One-stop Multi-Cancer Screening” is Effective

Health Campaign
CUHK Successfully Conducts Asia-Pacific’s First Hybrid Operating Room Non-invasive Bronchoscopic Microwave Ablation to Treat Lung Cancer

CUHK Successfully Conducts Asia-Pacific’s First Hybrid Operating Room Non-invasive Bronchoscopic Microwave Ablation to Treat Lung Cancer

Surgical advancement
CUHK Pioneers Early Lung Cancer Treatment with Hybrid Operating Room Image Guided Electromagnetic Navigation Bronchoscopy

CUHK Pioneers Early Lung Cancer Treatment with Hybrid Operating Room Image Guided Electromagnetic Navigation Bronchoscopy

Surgical advancement
CUHK and ETH Zurich Forge an Alliance on Innovative Technologies for Gastrointestinal Diseases

CUHK and ETH Zurich Forge an Alliance on Innovative Technologies for Gastrointestinal Diseases

International collaboration
World’s First Large-scale Epidemiological Survey on Adolescents by CUHK Reveals Abuse of Methamphetamine Associated with Increased Risk of Developing Lower Urinary Tract Symptoms

World’s First Large-scale Epidemiological Survey on Adolescents by CUHK Reveals Abuse of Methamphetamine Associated with Increased Risk of Developing Lower Urinary Tract Symptoms

Clinical service
CUHK World’s First Study Confirms A New Colorectal Cancer High Risk Group

CUHK World’s First Study Confirms A New Colorectal Cancer High Risk Group

Research
CUHK’s New Prostatic Artery Embolization Shows 90% Success Rate in Relieving Symptoms of Benign Prostatic Hyperplasia

CUHK’s New Prostatic Artery Embolization Shows 90% Success Rate in Relieving Symptoms of Benign Prostatic Hyperplasia

Clinical service
CUHK Introduces High Frequency Oscillations to Determine Resection Margin Increases the Effectiveness of Complex Epilepsy Surgery by around 30%

CUHK Introduces High Frequency Oscillations to Determine Resection Margin Increases the Effectiveness of Complex Epilepsy Surgery by around 30%

Surgical advancement
CUHK Opens S.H. Ho Urology Centre to Promote Earlier Diagnosis and Management of Prostate Cancer to the Territory

CUHK Opens S.H. Ho Urology Centre to Promote Earlier Diagnosis and Management of Prostate Cancer to the Territory

Clinical service
Bowel Cancer Will Become Top Cancer in Hong Kong CUHK Introduces Colon Pill Camera to Prevent Bowel Cancer

Bowel Cancer Will Become Top Cancer in Hong Kong CUHK Introduces Colon Pill Camera to Prevent Bowel Cancer

Surgical advancement
CUHK's Youth Urological Treatment Centre Opens Today Territory's First Centre to Provide Urological Assessment and Treatment to Young Drug Abusers

CUHK's Youth Urological Treatment Centre Opens Today Territory's First Centre to Provide Urological Assessment and Treatment to Young Drug Abusers

Donation
CUHK Successfully Performed Hong Kong's First Robotic Endoscopic Scarless Surgery - A Major Endoscopic Technological Breakthrough

CUHK Successfully Performed Hong Kong's First Robotic Endoscopic Scarless Surgery - A Major Endoscopic Technological Breakthrough

Surgical advancement
CUHK Pioneers Surgical Treatment of Deep Brain Stimulation for Tardive Dystonia in HK

CUHK Pioneers Surgical Treatment of Deep Brain Stimulation for Tardive Dystonia in HK

Surgical advancement
CUHK Discovers Drug Dosage Brings Negative Impact on Bladder Function among Young People

CUHK Discovers Drug Dosage Brings Negative Impact on Bladder Function among Young People

Research
CUHK Develops Biohybrid Soft Microrobots with a Rapid Endoluminal Delivery Strategy for Gastrointestinal Diseases

CUHK Develops Biohybrid Soft Microrobots with a Rapid Endoluminal Delivery Strategy for Gastrointestinal Diseases

Research
CU Medicine Survey Shows Global Urological Services have been Significantly Deferred due to COVID-19 Pandemic

CU Medicine Survey Shows Global Urological Services have been Significantly Deferred due to COVID-19 Pandemic

Research
CUHK Study Finds Earlier Endoscopy Did Not Reduce Mortality and Risk of Further Bleeding in Acute Upper Gastrointestinal Bleeding Patients

CUHK Study Finds Earlier Endoscopy Did Not Reduce Mortality and Risk of Further Bleeding in Acute Upper Gastrointestinal Bleeding Patients

Research
CUHK Pioneers in Introducing Museum-Based Observational Skills into Medical Education

CUHK Pioneers in Introducing Museum-Based Observational Skills into Medical Education

Education
CUHK Study Proves Ablative Chemoembolization Doubles the Progression-Free Survival for Liver Cancer Patients

CUHK Study Proves Ablative Chemoembolization Doubles the Progression-Free Survival for Liver Cancer Patients

Research
CUHK Research Shows 1 in 5 Throat Cancer Patients in HK is HPV infected

CUHK Research Shows 1 in 5 Throat Cancer Patients in HK is HPV infected

Research
The Chinese University of Hong Kong and Imperial College Collaborate on Healthcare Innovation and Biomedical Robotics

The Chinese University of Hong Kong and Imperial College Collaborate on Healthcare Innovation and Biomedical Robotics

International collaboration
CUHK Establishes Chow Yuk Ho Technology Centre for Innovative Medicine An Interdisciplinary Collaboration to Transfer Biomedical Engineering Research into Clinical Practice

CUHK Establishes Chow Yuk Ho Technology Centre for Innovative Medicine An Interdisciplinary Collaboration to Transfer Biomedical Engineering Research into Clinical Practice

Donation
CUHK Introduces Asia's First "Gastric Pacemaker" To Restore Digestive Function in Gastroparesis Patients

CUHK Introduces Asia's First "Gastric Pacemaker" To Restore Digestive Function in Gastroparesis Patients

Surgical advancement
CUHK Develops Resource Kit to Enhance Social Skills Among Autistic Students To be Promoted to All Local Schools

CUHK Develops Resource Kit to Enhance Social Skills Among Autistic Students To be Promoted to All Local Schools

Health Campaign
CUHK Research Reveals Impact of Mild Hearing Loss on School Children Now Recruiting Hearing Impaired Students for Research on Efficacy of Intervention

CUHK Research Reveals Impact of Mild Hearing Loss on School Children Now Recruiting Hearing Impaired Students for Research on Efficacy of Intervention

Research
CUHK-PWH Hybrid Cardiovascular Operating Theatre Officially Opens Multi-functional Setting Enhances Surgical Outcomes

CUHK-PWH Hybrid Cardiovascular Operating Theatre Officially Opens Multi-functional Setting Enhances Surgical Outcomes

Clinical service
CUHK Survey Reveals Hearing Devices Help Hearing Impaired People Improve Quality of Life

CUHK Survey Reveals Hearing Devices Help Hearing Impaired People Improve Quality of Life

Research
CUHK Proves a Non-invasive Technology Can Successfully Cure Cerebral Arteriovenous Malformation

CUHK Proves a Non-invasive Technology Can Successfully Cure Cerebral Arteriovenous Malformation

Clinical service
CUHK Urges Widespread Helmet Use and Protective Measures Against Cycling-related Traumatic Brain Injury

CUHK Urges Widespread Helmet Use and Protective Measures Against Cycling-related Traumatic Brain Injury

Research
CUHK and Ximplar Develop World's First Hearing Technology to Integrate Hearing Test and Custom Sound Enhancement ACEHearingTM Wins Bronze Award and Audience Choice Award at The Wall Street Journal Asian Innovation Awards

CUHK and Ximplar Develop World's First Hearing Technology to Integrate Hearing Test and Custom Sound Enhancement ACEHearingTM Wins Bronze Award and Audience Choice Award at The Wall Street Journal Asian Innovation Awards

Awards and honors
CUHK Discovers the Environmental Factors in Family and School Behind Constipation in HK Children

CUHK Discovers the Environmental Factors in Family and School Behind Constipation in HK Children

Research
'Technologies Enhancing Patient Care in the Community' CUHK Kicks Off Public Education Programme to Showcase Achievements in Computer Assisted Surgery and Clinical Management

'Technologies Enhancing Patient Care in the Community' CUHK Kicks Off Public Education Programme to Showcase Achievements in Computer Assisted Surgery and Clinical Management

Health Campaign
CUHK Pioneers Scarless Per-oral Endoscopic Myotomy for Treatment of Esophageal Motility Disorders in Hong Kong

CUHK Pioneers Scarless Per-oral Endoscopic Myotomy for Treatment of Esophageal Motility Disorders in Hong Kong

Surgical advancement

Our Expert List

Many experts under the Faculty of Medicine are available for media interview.
Please click here for the expert list or contact us.