Short‐term results of robot‐assisted colorectal cancer surgery using Senhance Digital Laparoscopy System

Abstract

Background: The Senhance Digital Laparoscopy System (Asensus Surgical Inc, Morrisville, NC, United States), which was introduced for the first time in Japan by our hospital, is a new surgical assistive robot following the da Vinci Surgical System. We herein report the short-term outcomes of 55 colorectal cancer surgery cases using this system at our hospital to assess the feasibility and safety of our procedures. Materials and Methods:We retrospectively reviewed the patient backgrounds and surgical outcomes of 55 patients who underwent Senhanceassisted laparoscopic colorectal cancer surgery. Results: The median age was 71 years. There were 31 males and 24 females, and the median body mass index was 23.1 kg/m 2 . Fifteen patients had a history of abdominal surgery. The most common surgical technique was ileocecal resection (18 cases, 32.7%), followed by high anterior resection (11 cases, 20.0%). D2 or D3 dissection was performed in each operation, and D3 dissection was performed in 41 cases (74.5%). The median operative time was 240 minutes, the median blood loss was 5 mL, there were no intraoperative complications, and there were no cases of intraoperative blood transfusion. The median postoperative hospital stay was 7 days, which was comparable to conventional laparoscopic surgery. Postoperative complications of grade 2 or higher in the Clavien-Dindo classification were observed in two cases. Conclusion:The short-term results of 55 colorectal cancer surgery cases using the Senhance Digital Laparoscopy System were excellent and the system was introduced and surgery was safely performed.

Senhance robotic radical prostatectomy: A single‐centre, 3‐year experience

“…The Senhance surgical platform has been approved for several years for use in various surgical areas from surgery (abdominal) and gynaecology to urology. [9][10][11][12][16][17][18] It offers many benefits, including an open console, 3D-4K vision, eye-tracking camera control, haptic feedback and reusable instruments. If needed, conversion to laparoscopy can be easily performed using the same trocars.…”

Advanced surgical tool: Progress in clinical application of intelligent surgical robot

“…In addition, some accessories such as forceps can be reused, which significantly reduces the cost of surgery. 80 Hirano et al successfully completed a double-port sigmoid resection using the Senhance® robotic platform without any postoperative complications. 81 69 Copyright 2021, Wiley.…”

“…As a representative of the open console, the surgeon can choose the most comfortable position to manipulate the arm and communicate with colleagues without any obstacles. In addition, some accessories such as forceps can be reused, which significantly reduces the cost of surgery 80 . Hirano et al.…”

“…(B) Forceps system of Senhance® robotic platform. Reproduced under terms of the CC‐BY license 80 . Copyright 2022, The Authors, published by Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd. (C) Versius® surgical system for abdominal surgery.…”

Short-term outcomes of Robotic-Assisted Sigmoidectomy using the Senhance Digital Laparoscopy System: A Comparison with Laparoscopic Surgery Using Propensity Score Matching

“…There have been several reports on the use of Senhance for colorectal cancer; however, no study has evaluated the safety of Senhance-assisted surgery versus conventional laparoscopic surgery for colorectal cancer [15][16][17][18][19][20][21][22][23][24].…”