Comparison of extraperitoneal laparoscopic and extraperitoneal Senhance radical prostatectomy

Abstract

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.

Senhance Robotic Radical Prostatectomy; a Review of Literature

“…One of the published articles was a pilot study focused on the safety and eligibility of Senhance, three of the published articles were consecutive reports from a Croatian Center (University Hospital Center Zagreb) and two were consecutive reports from a Lithuanian Center (Klaipeda University Hospital). Two of the last published articles were identified as the last reports in the series from the two Centers and thus eligible for this review (4,14). Both studies were marked as prospective and published in 2021.…”

“…It has an ergonomic open-console platform, with technological features such as haptic feedback, 4K-3D-vision, and eye-tracking camera control. The platform itself has proven to be safe, reliable and applicable in a variety of urological operations, with a rather steep learning curve among surgeons with laparoscopic experience (4,7). After the introduction of this novel robotic platform, it was mainly used for less demanding abdominal and gynecological procedures (8,9).…”

Senhance robot-assisted adrenalectomy: a case series

“…Second, the procedure length was increased by modifying the operative technique, mainly the robotic instrument docking and surgeon re-scrubbing at the end of the procedure. For Senhance robot-assisted radical prostatectomy, the operative time was inversely proportional to the number of performed procedures ( 10 , 11 ), and for gynecological surgery operative time significantly decreased after 60-80 cases ( 12 ). Therefore, we can expect further improvements with more cases.…”

“…The Senhance Surgical System offers open platform strategy and reusable instruments, potentially becoming a more affordable option than the Da Vinci ( 15 ). There are only a few reports of successful Senhance robotic-assisted procedures in urology for both benign and malignant conditions ( 2 , 5 , 6 , 10 , 11 , 16 - 18 ). This report broadens the urologic catalog of Senhance robot-assisted procedures by adding adrenalectomy for benign adrenal tumors.…”

Hystoric aspects of introduction of transbladder and retropubic simple prostatectomy in surgical urological practice

“…Хоча інтерес до лазерних енуклеацій та лапароскопічних простатектомій при великих гіперплазованих вузлах простати (більше 80 мл) у світі продовжує зростати, проте виконання черезміхурової та залобкової простатектомій сьогодні також широко застосовуються для даної категорії хворих. тому особливої уваги у цьому контексті заслуговують окремі етапи цих операцій, які вдосконалюються з часом, аби зменшити ризики ускладнень і покращити результати лікування [1,2,3,4].…”