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01-12-2024 | Prostatectomy | Original Article

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

Authors: Tomislav Kulis, Narimantas E. Samalavicius, Tvrtko Hudolin, Raimundas Venckus, Luka Penezic, Vaida Nausediene, Frank Willeke, Zeljko Kastelan, The TransEnterix European Patient Registry (TRUST)

Published in: World Journal of Urology | Issue 1/2024

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.

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Title: Robotic-assisted radical prostatectomy: a multicenter experience with the Senhance Surgical System
Authors: Tomislav Kulis
Narimantas E. Samalavicius
Tvrtko Hudolin
Raimundas Venckus
Luka Penezic
Vaida Nausediene
Frank Willeke
Zeljko Kastelan
The TransEnterix European Patient Registry (TRUST)
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keywords: Prostatectomy
Prostatectomy
Laparoscopy
Lymphadenectomy
Published in: World Journal of Urology / Issue 1/2024
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-023-04732-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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