The first experience of using the "Senhance" robotic surgical system during cholecystectomy

M.A. Kashtalian; Ie.A. Kvasnevskyi; O.A.  Kvasnevskyi

doi:10.26641/2307-0404.2023.3.289167

Автор(и)

M.A. Kashtalian Odesa national medical university, Valikhovskyi lane, 2, Odesa, 65082, Україна https://orcid.org/0000-0002-2945-2161
Ie.A. Kvasnevskyi Odesa national medical university, Valikhovskyi lane, 2, Odesa, 65082, Україна https://orcid.org/0000-0002-0753-7666
O.A. Kvasnevskyi Odesa national medical university, Україна https://orcid.org/0000-0001-6630-0143

DOI:

https://doi.org/10.26641/2307-0404.2023.3.289167

Ключові слова:

Senhance surgical system, cholecystectomy, minimally invasive surgery, robotic surgery

Анотація

The aim of our study was to evaluate the differences in intraoperative and postoperative outcomes of cholecystectomy using the Senhance robotic platform and laparoscopic cholecystectomy. A retrospective analysis of medical cases history of patients who underwent cholecystectomy from December 2021 to February 2022 was conducted. The treatment outcomes of patients with chronic calculous cholecystitis who underwent robotic cholecystectomy (RC) were compared with those who underwent laparoscopic cholecystectomy (LC). Robotic cholecystectomy was performed using the Senhance robotic platform. The RC and LC groups were matched for age, sex, body mass index and compared for the duration of the operation and hospital stay. For normally distributed data, the mean and standard deviation, determined using the Shapiro-Wilk test (p-value>0.05), were applied. Median and interquartile range (IQR) were also used. Difference between cohorts - 95% confidence interval (95% Confidence Interval) were estimated for normally distributed data. Data analysis was performed using standard summary statistics on the Jamovi 2.2.5 platform. Data were processed using application program packages. All surgical procedures were performed by two surgeons from Odesa National Medical University. Robotic cholecystectomy was performed on 18 patients and laparoscopic cholecystectomy was performed on 20 patients. There were no statistically significant differences between the groups in terms of length of hospital stay, blood loss or complications. There were no bile duct injuries, intraoperative complications, or conversions in either group. The only statistically significant difference was the total time under anesthesia (p>0.05), which was longer in the robotic cholecystectomy group. Cholecystectomy using the Senhance robotic platform was found to be safe, with an average operative time of 35.2±5.0 minutes, while the duration of laparoscopic cholecystectomy was 32.2±3.3 minutes. The study results showed that robotic cholecystectomy using the Senhance system is safe and effective. The use of robotic systems can improve precision and control during surgery, reduce blood loss and complications.

Посилання

Hutchins AR, Manson RJ, Lerebours R, et al. Objective assessment of the early stages of the learning curve for the senhance surgical robotic system. J Surg Educ. 2019;76:201-14. doi: https://doi.org/10.1016/j.jsurg.2018.06.026

Keller DS, Jenkins CN. Safety with innovation in colon and rectal robotic surgery. Clin Colon Rectal Surg. 2021 Sep;34(5):273-9. doi: https://doi.org/10.1055/s-0041-1726352

Wee IJ, Kuo LJ, Ngu JC. A systematic review of the true benefit of robotic surgery: Ergonomics. Int J Med Robot. 2020 Aug;16(4):e2113. doi: https://doi.org/10.1002/rcs.2113

Satava RM, Stefanidis D, Levy JS, et al. Proving the effectiveness of the Fundamentals of Robotic Surgery (FRS) skills curriculum. Annals of Surgery. 2020;272(2):384-92. doi: https://doi.org/10.1097/SLA.0000000000003220

McKechnie T, Khamar J, Daniel R, Lee Y, Park L, Doumouras AG, et al. The Senhance Surgical System in Colorectal Surgery: A Systematic Review. J Robot Surg. 2023 Apr;17(2):325-34. doi: https://doi.org/10.1007/s11701-022-01455-0

Aggarwal R, Winter Beatty J, Kinross J, von Roon A, Darzi A, Purkayastha S. Initial Experience With a New Robotic Surgical System for Cholecystectomy. Surg Innov. 2020 Apr;27(2):136-42. doi: https://doi.org/10.1177/1553350619890736

Samalavicius NE, Kaminskas T, Zidonis Z, Janu-sonis V, Deduchovas O, Eismontas V, et al. Robotic cho-lecystectomy using Senhance robotic platform versus laparoscopic conventional cholecystectomy: a propensity score analysis. Acta Chir Belg. 2022 Jun;122(3):160-3. doi: https://doi.org/10.1080/00015458.2021.1881332

Stephan D, Sälzer H, Willeke F. First Experiences with the New Senhance® Telerobotic System in Visceral Surgery. Visc Med. 2018 Feb;34(1):31-6. doi: https://doi.org/10.1159/000486111

Spinelli A, David G, Gidaro S, et al. First experience in colorectal surgery with a new robotic platform with haptic feedback. Colorectal Dis. 2018;20:228-35. doi: https://doi.org/10.1111/codi.13882

Willuth E, Hardon SF, Lang F, et al. Robotic-assisted cholecystectomy is superior to laparoscopic chole-cystectomy in the initial training for surgical novices in an ex vivo porcine model: a randomized crossover study. Surg Endosc. 2022 Feb;36(2):1064-79. doi: https://doi.org/10.1007/s00464-021-08373-6

Milone M, Vertaldi S, Bracale U, D'Ambra M, Cassese G, Manigrasso M, et al. Robotic cholecystectomy for acute cholecystitis: Three case reports. GD.Medicine (Baltimore). 2019 Jul;98(30):e16010. doi: https://doi.org/10.1097/MD.0000000000016010

Melling N, Barr J, Schmitz R, Polonski A, Miro J, Ghadban T, et al. Robotic cholecystectomy: first experience with the new Senhance robotic system. J Robot Surg. 2019 Jun;13(3):495-500. doi: https://doi.org/10.1007/s11701-018-0877-3

Peacock JL, Peacock PL. Oxford Hadbook of Medical Statistics. 2nd ed. Oxford University Press, UK; 2020. 640 p. doi: https://doi.org/10.1093/med/9780198743583.001.0001