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21-09-2022 | Laparoscopy | Review Article

The Senhance Surgical System in Colorectal Surgery: A Systematic Review

Authors: Tyler McKechnie, Jigish Khamar, Ryan Daniel, Yung Lee, Lily Park, Aristithes G. Doumouras, Dennis Hong, Mohit Bhandari, Cagla Eskicioglu

Published in: Journal of Robotic Surgery | Issue 2/2023

Abstract

The Senhance Surgical System allows for infrared eye tracking, haptic feedback, and an adjustable upright seat allowing for improved ergonomics. This systematic review was designed with the aim of reviewing the current literature pertaining to the use of the Senhance Surgical System in colorectal surgery. Medline, EMBASE, and CENTRAL were searched. Articles were eligible for inclusion if they evaluated adults undergoing colorectal surgery with the Senhance Surgical System. The primary outcome was intraoperative efficacy; as defined by operative time, estimated blood loss (EBL), and conversion. A DerSimonian and Laird inverse variance random-effects meta-analysis was used to generate overall effect size estimates and narrative review was provided for each outcome. Six observational studies with 223 patients (mean age: 63.7, 41.2% female, mean BMI: 24.4 kg/m²) were included. The most common indication for surgery was colorectal cancer (n = 180, 80.7%) and the most common operation was anterior resection (n = 72, 32.3%). Meta-analyses demonstrated a pooled total operative time of 229.8 min (95% CI 189.3–270.4, I² = 0%), console time of 141.3 min (95% CI 106.5–176.1, I² = 0%), and docking time of 10.8 min (95% CI 6.4–15.2, I² = 0%). The pooled EBL was 37.0 mL (95% CI 24.7–49.2, I² = 20%). Overall, there were nine (4.0%) conversions to laparoscopy/laparotomy. The Senhance Surgical System has an acceptable safety profile, reasonable docking and console times, low conversion rates, and an affordable case cost across a variety of colorectal surgeries. Further prospective, comparative trials with other robotic surgical platforms are warranted.

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Title: The Senhance Surgical System in Colorectal Surgery: A Systematic Review
Authors: Tyler McKechnie
Jigish Khamar
Ryan Daniel
Yung Lee
Lily Park
Aristithes G. Doumouras
Dennis Hong
Mohit Bhandari
Cagla Eskicioglu
Publication date: 21-09-2022
Publisher: Springer London
Keywords: Laparoscopy
Colectomy
Colectomy
Minimally Invasive Surgery
Published in: Journal of Robotic Surgery / Issue 2/2023
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-022-01455-0

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