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Robotic surgery using Senhance® robotic platform: single center experience with first 100 cases

  • Narimantas Evaldas SamalaviciusEmail author
  • Vinsas Janusonis
  • Raimondas Siaulys
  • Marius Jasėnas
  • Olegas Deduchovas
  • Raimondas Venckus
  • Viktorija Ezerskiene
  • Renata Paskeviciute
  • Geda Klimaviciute
Original Article

Abstract

Until recently, robotic surgery has been associated only with the da Vinci robotic system. A novel Senhance® robotic system (TransEnterix Surgical Inc., Morrisville, NC, USA) was introduced almost 5 years ago. Published reports on experience using this robotic platform are very limited. We present a prospective analysis of the first 100 robotic surgeries in abdominal surgery, gynecology, and urology in Klaipeda University Hospital, Klaipeda, Lithuania. Out of 100 operated patients during the mentioned period, 49 were female and 51 men, age range 27–79 years, on an average 55 years. 39 underwent robotic abdominal surgical procedures, 31—urological, and 30 gynecological surgeries. Duration of surgery varied from 30 min to 6 h and 5 min, on an average 2 h 25 min. Almost half 49 (49%) were operated on for malignant diseases: prostate cancer—27, renal cell carcinoma—1, endometrial cancer—7, ovarian cancer—1, colorectal cancer—13 (7 colon and 6 rectum). In-hospital stay was on an average 4 days, range 1–15 days. There were 3 (3%) conversions: two to laparoscopy (both undergoing robotic radical prostatectomy) and one to open (undergoing total hysterectomy). 6 (6%) complications occurred during 30 postoperative days, 2 demanding surgery. According to the Clavien–Dido classification, they were grade II in 3, grade III a in 1 and grade III b in 2 cases. There was no mortality in this patient population. Our experience with different types of robotic surgeries allows us to state that the Senhance® robotic system is feasible and safe in general surgery, gynecology, and urology, and wider implementation of this system worldwide is simply a question of time.

Keywords

Robotic surgery Minimally invasive surgery Senhance robotic system 

Notes

Compliance with ethical standards

Conflict of interest

NE. Samalavicius, V. Janusonis, R. Siaulys,M. Jasenas, O. Deduchovas,, R. Venckus,, V. Ezerskiene, R. Paskeviciute, G. Klimaviciute, have no conflict of interest.

Ethical approval

All procedures performed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, revised in 2000.

Informed consent

Informed consent was obtained from all patients for being included in this study.

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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2019

Authors and Affiliations

  • Narimantas Evaldas Samalavicius
    • 1
    • 2
    Email author
  • Vinsas Janusonis
    • 1
    • 3
  • Raimondas Siaulys
    • 1
  • Marius Jasėnas
    • 1
  • Olegas Deduchovas
    • 1
  • Raimondas Venckus
    • 1
  • Viktorija Ezerskiene
    • 1
  • Renata Paskeviciute
    • 1
  • Geda Klimaviciute
    • 1
  1. 1.Department of SurgeryKlaipeda University HospitalKlaipedaLithuania
  2. 2.Clinic of Internal, Family Medicine and Oncology, Faculty of MedicineVilnius UniversityVilniusLithuania
  3. 3.Faculty of Health SciencesKlaipeda UniversityKlaipedaLithuania

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