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Techniques in Coloproctology
Published in: Techniques in Coloproctology 6/2022

01-06-2022 | Rectal Cancer | Original Article

Robotic colorectal surgery using the Senhance® robotic system: a single center experience

Authors: N. E. Samalavicius, A. Dulskas, V. Janusonis, V. Klimasauskiene, V. Eismontas, O. Deduchovas, T. Janusonis, R. Markelis, E. Smolskas

Published in: Techniques in Coloproctology | Issue 6/2022

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Abstract

Background

The aim of this study was to evaluate the initial experience of a single robotic center with the Senhance® robotic systems (TransEnterix Surgical Inc, Morrisville, NC, USA) in colorectal surgery.

Methods

We performed a retrospective analysis of prospectively collected data of patients who underwent colorectal surgery using the Senhance® robotic systems, from November 2018 to November 2020. Perioperative, intraoperative, and short-term postoperative data were assessed.

Results

There were 57 patients (28 women and 29 men, mean age 61.7 ± 6.2 years [range 23–84 years]). Forty-eight (84.2%) patients underwent surgery for colorectal cancer (22 colon cancer and 26 rectal cancer) and 9 (15.8%) for benign conditions. Mean operating time was 194 min ± 57.8 min (range 90–380 min). In total, 27(47.4%) operations were performed on the colon and 30 (52.6%) on the rectum; mean length of postoperative hospital stay was 8 ± 6.2 days (range 3–48 days). There were 2 (3.4%) conversions to open surgery. No intraoperative complications occurred. Seven patients (12.3%) had postoperative complications 3 (5.3%) of whom had to be treated under general anesthesia. There was no mortality. In 48 patients operated on for colorectal cancer, the mean lymph-node harvest was 18 ± 7.9 (range 7–38 lymph nodes). In the rectal cancer group of 26 patients, the distal resection margin was 3.3 ± 1.8 cm.

Conclusions

In our experience, surgery using the new Senhance® robotic system was safe and feasible in surgery of the colon and rectum. Randomized controlled trials comparing this type of colorectal surgery with laparoscopic and/or other types of robotic surgery are needed.
Literature
1.
Jacobs M, Verdeja JC, Goldstein HS (1991) Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1:144–150PubMed
2.
Stevenson AR, Solomon MJ, Lumley JW, Hewett P, Clouston AD, Gebski VJ, Davies L, Wilson K, Hague W, Simes J, ALaCaRT Investigators (2015) Effect of laparoscopic-assisted resection vs open resection on pathological outcomes in rectal cancer: the ALaCaRT randomized clinical trial. JAMA 314(13):1356–1363CrossRef
3.
Fleshman J, Branda M, Sargent DJ, Boller AM, George V, Abbas M, Peters WR Jr, Maun D, Chang G, Herline A, Fichera A, Mutch M, Wexner S, Whiteford M, Marks J, Birnbaum E, Margolin D, Larson D, Marcello P, Posner M, Read T, Monson J, Wren SM, Pisters PW, Nelson H (2015) Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: the ACOSOG Z6051 randomized clinical trial. JAMA 314(13):1346–1355CrossRef
4.
Weber PA, Merola S, Wasielewski A, Ballantyne GH et al (2002) Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum 45(12):1689–1699CrossRef
5.
6.
7.
Dixon F, O’Hara R, Ghuman N, Strachan J, Khanna A, Keeler BD (2020) Major colorectal resection is feasible using a new robotic surgical platform: the first report of a case series. Tech Coloproctol 6:1–5
8.
Luo D, Liu Y, Zhu H, Li X, Gao W, Li X, Zhu S, Yu X (2020) The MicroHand S robotic-assisted versus Da Vinci robotic-assisted radical resection for patients with sigmoid colon cancer: a single-center retrospective study. Surg Endosc 34(8):3368–3374CrossRef
9.
Samalavicius NE, Janusonis V, Siaulys R, Jasenas M, Deduchovas O, Venckus R, Ezerskiene V, Paskeviciute R, Klimaviciute G (2020) Robotic surgery using Senhance® robotic platform: single center experience with first 100 cases. J Robot Surg 14(2):371–376CrossRef
10.
Samalavicius NE, Smolskas E, Deduchovas O, Janusonis V, Dulskas A (2019) Robotic right colectomy using the new Senhance® robotic platform: a three-trocar technique—a video vignette. Colorectal Dis 21:1092–1093CrossRef
11.
Samalavicius NE, Smolskas E, Deduchovas O, Janusonis V, Dulskas A (2019) Robotic abdominoperineal resection for pT2N0M0 low rectal cancer using the Senhance® TransEnterix robotic platform—a video vignette. Colorectal Dis 21:847–848PubMed
12.
Samalavicius NE, Klimasauskiene V, Janusonis V, Samalavicius A, Dulskas A (2020) Robotic total mesorectal excision for mid-rectal cancer using the Senhance® robotic platform—a video vignette. Colorectal Dis 22:592–593CrossRef
13.
Samalavicius NE, Janusonis V, Smolskas E, Dulskas A (2020) Transanal and robotic total mesorectal excision (robotic-assisted TaTME) using the Senhance® robotic system—a video vignette. Colorectal Dis 22:114–115CrossRef
14.
Samalavicius NE, Smolskas E, Janusonis V, Deduchovas O, Dulskas A (2019) Robotic sigmoid resection for locally advanced cancer cancer using the Senhance® Transenterix robotic platform—a video vignette. Colorectal Dis 21(10):1216CrossRef
15.
Denost Q, Adam JP, Rullier A et al (2014) Perineal transanal approach: a new standard laparoscopic sphincter-saving resection in low rectal cancer, a randomized trial. Ann Surg 260:993–999CrossRef
16.
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213CrossRef
17.
Stephan D, Sälzer H, Willeke F (2018) first experiences with the new Senhance® telerobotic system in visceral surgery. Visc Med 34(1):31–36CrossRef
18.
deBeche-Adams T, Eubanks WS, de la Fuente SG (2019) Early experience with the Senhance®-laparoscopic/robotic platform in the US. J Robot Surg 13(2):357–359CrossRef
19.
Darwich I, Stephan D, Klöckner-Lang M, Scheidt M, Friedberg R, Willeke F (2020) A roadmap for robotic-assisted sigmoid resection in diverticular disease using a Senhance Surgical Robotic System: results and technical aspects. J Robot Surg 14(2):297–304CrossRef
20.
Kataoka A, Hirano Y, Kondo H, Shimamura S, Kataoka M, Asari M, Fujii T, Ishikawa S, Ishii T, Yamaguchi S (2020) Right hemicolectomy with D3 lymph node dissection for right-sided transverse colon cancer using the Senhance robotic system: a case report. Surg Case Rep 6(1):263CrossRef
21.
22.
Kondo H, Yamaguchi S, Hirano Y, Ishii T, Obara N, Wang L, Asari M, Kato T, Takayama T, Sugita H, Sakuramoto S, Koyama I (2020) A first case of ileocecal resection using a Senhance surgical system in Japan. Surg Case Rep 6(1):95CrossRef
23.
Stephan D, Darwich I, Willeke F (2020) First clinical use of 5 mm articulating instruments with Senhance robotic system. Surg Technol Int 37:63–67PubMed
Metadata
Title
Robotic colorectal surgery using the Senhance® robotic system: a single center experience
Authors
N. E. Samalavicius
A. Dulskas
V. Janusonis
V. Klimasauskiene
V. Eismontas
O. Deduchovas
T. Janusonis
R. Markelis
E. Smolskas
Publication date
01-06-2022
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 6/2022
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-022-02589-x

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