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Multicenter Study
. 2024 Jan 20;42(1):39.
doi: 10.1007/s00345-023-04732-1.

Robotic-assisted radical prostatectomy: a multicenter experience with the Senhance Surgical System

Tomislav Kulis  1   2 , Narimantas E Samalavicius  3   4   5 , Tvrtko Hudolin  1   2 , Raimundas Venckus  6 , Luka Penezic  7 , Vaida Nausediene  3   8 , Frank Willeke  9 , Zeljko Kastelan  1   2 ; TransEnterix European Patient Registry (TRUST)
Affiliations
Multicenter Study

Robotic-assisted radical prostatectomy: a multicenter experience with the Senhance Surgical System

Tomislav Kulis et al. World J Urol. .

Abstract

Purpose: Robotic-assisted surgery for radical prostatectomy is becoming a standard treatment, and respective implementations are expanding. The Senhance Surgical System is a robotic system with existing but limited data on radical prostatectomy, including a lack of multicenter study experiences. The TRUST study aims to fill this gap and explores observations for radical prostatectomy with the Senhance Surgical System.

Methods: Between August 2019 and November 2022, 375 patients met inclusion criteria from two European sites. Patients' surgical procedure times, data on conversion, malfunction, adverse events, and pain scores were registered and evaluated. Outcomes were calculated for both sides, combined as a total and compared between the initial (1st-150th case) and later (> 150th case) period.

Results: The median operating time was 190 min (IQR: 167.5-215.0) and the median docking time was 3 min (IQR: 2.0-5.0). Eighteen cases (4.8%) were converted to standard laparoscopy and two (0.5%) to open. Two perioperative (0.5%) and eleven postoperative adverse events (2.9%) occurred, mostly (83.3%) categorized as mild. Pain scores were reduced from an average of 3.4 (± 1.4) on the postoperative day to 0.9 (± 0.7) at discharge. Compared to our previous data and based on a comparison between our initial and later period, operating time seems to plateau. However, docking time, complication, and conversion rates were successfully reduced.

Conclusion: We demonstrate progressing safety and efficiency for robotic-assisted radical prostatectomy with the Senhance Surgical System.

Keywords: Multicenter study; Radical prostatectomy; Robotic-assisted surgery; Senhance Surgical System.

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References

    1. Sharma NL, Shah NC, Neal DE (2009) Robotic-assisted laparoscopic prostatectomy. Br J Cancer 101:1491–1496. https://doi.org/10.1038/sj.bjc.6605341 - DOI - PubMed - PMC
    1. Costello AJ (2020) Considering the role of radical prostatectomy in 21st century prostate cancer care. Nat Rev Urol 17:177–188. https://doi.org/10.1038/s41585-020-0287-y - DOI - PubMed
    1. Cao L, Yang Z, Qi L et al (2019) Robot-assisted and laparoscopic vs open radical prostatectomy in clinically localized prostate cancer: perioperative, functional, and oncological outcomes: a systematic review and meta-analysis. Medicine 98(22):e15770. https://doi.org/10.1097/MD.0000000000015770 - DOI - PubMed - PMC
    1. Carbonara U, Srinath M, Crocerossa F et al (2021) Robot-assisted radical prostatectomy versus standard laparoscopic radical prostatectomy: an evidence-based analysis of comparative outcomes. World J Urol 39:3721–3732. https://doi.org/10.1007/s00345-021-03687-5 - DOI - PubMed
    1. Coussons H, Feldstein J, McCarus S (2021) Senhance surgical system in benign hysterectomy: a real-world comparative assessment of case times and instrument costs versus da Vinci robotics and laparoscopic-assisted vaginal hysterectomy procedures. Int J Med Robot 17:e2261. https://doi.org/10.1002/rcs.2261 - DOI - PubMed

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