Background: Senhance is novel robotic platform which can be used to perform radical prostatectomy (RP). We compare our results of robotic RP to similar patients operated with laparoscopic technique.
Patients and methods:A prospective study of 61 patients operated laparoscopically and 107 patients operated using the Senhance robotic system. We have analysed operative and postoperative results in both groups.Results: There was no difference in the operative time, estimated blood loss, positive surgical margins, length of hospitalisation and catheterisation. There were 4 (6.5%) Clavien-Dindo grade I complications, and 5 (8.1%) late complications in laparoscopy. There were 6 (5.6%) Clavien-Dindo grade I, 3 (2.8%) grade II, 1 (0.9%) grade IV complications and 2 (1.9%) late complications in robotic group.
Conclusion:Senhance robot-assisted RP is safe, feasible and offers good and comparable functional and oncological outcomes to laparoscopy. The transition to robotic surgery with a relatively fast learning curve can be done effectively for surgeons with previous laparoscopic experience.
The introduction of Da Vinci (Intuitive Surgical, Inc., Sunnyvale, CA, USA) robotic surgical system for radical prostatectomy (RP) has significantly changed the way we perform prostate cancer surgery (1). In a relatively short time, Da Vinci has become the major surgical approach for RP in the USA (2). Furthermore, the number of European hospitals that use this system is constantly increasing. Until recently, Da Vinci was the only available robotic surgical system for robotic radical prostatectomy (RRP), but now several manufacturers already have such a system or are in the process of developing it (3). Recently, the Senhance Surgical System (TransEnterix, Inc., Morrisville, NC, USA) robotic platform for abdominal, gynecological, and urological surgical procedures has been introduced (4-8). This platform is feasible and safe, and it is relatively easy to learn to operate it (6,9,10). Here, we present our initial experience with this new system for radical prostatectomy, with the first technical description and a video of the operation.
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