Initial experience with a new robotic surgical system for cholecystectomy
File(s)
Accepted version
Author(s)
Type
Journal Article
Abstract
Background. Laparoscopic cholecystectomy has been the gold standard treatment for symptomatic cholelithiasis for more than 3 decades. Robotic techniques are gaining traction in surgery, and recently, the Senhance™ robotic system was introduced. The system offers advantages over other robotic systems such as improved ergonomics, haptic feedback, eye tracking, and usability of standard laparoscopic trocars and reusable instruments. The Senhance was evaluated to understand the feasibility, benefits, and drawbacks of its use in cholecystectomy. Study Design. A prospectively maintained database of the first 20 patients undergoing cholecystectomy with the Senhance was reviewed at a single hospital. Data including operative time, console time, set up time, and adverse events were collected, with clinical outcome and operative time as primary outcome measures. A cohort of 20 patients having laparoscopic cholecystectomy performed by the same surgeon was used as a comparator group. Results. The 2 groups had comparable demographic data (age, sex, and body mass index). In the Senhance group, 19 of the 20 procedures (95%) were completed robotically. The median (interquartile range) total operating, docking, and console times were 86.5 (60.5-106.5), 11.5 (9-13), and 30.8 (23.5-35) minutes, respectively. In the laparoscopic group, the median (interquartile range) operating time was 31.5 (26-41) minutes. Postoperatively, only one patient had a surgical complication, namely a wound infection treated with antibiotics. Conclusion. Our results suggest that Senhance-assisted cholecystectomy is safe, feasible, and effective, but currently has longer operative times. Further prospective and randomized trials are required to determine whether this approach can offer any other benefits over other minimally invasive surgical techniques.
Date Issued
2020-04-01
Date Acceptance
2019-11-01
Citation
Surgical Innovation, 2020, 27 (2), pp.136-142
ISSN
1553-3506
Publisher
SAGE Publications
Start Page
136
End Page
142
Journal / Book Title
Surgical Innovation
Volume
27
Issue
2
Copyright Statement
© The Author(s) 2019. The final, definitive version of this paper has been published in Surgical Innovation by Sage Publications Ltd. All rights reserved. It is available at: https://journals.sagepub.com/doi/10.1177/1553350619890736
Sponsor
Imperial College Healthcare NHS Trust
National Institute of Health Research
National Institute for Health Research
Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000499529300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Grant Number
72100-74250
NF SI 061710038
RDB04 79560
RD207
Subjects
Science & Technology
Life Sciences & Biomedicine
Surgery
cholecystectomy
robotic
surgery
laparoscopic
TELELAP ALF-X
SURGERY
PLATFORM
Publication Status
Published
Article Number
UNSP 1553350619890736
Date Publish Online
2019-11-27