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Robotic-assisted radical prostatectomy with the Senhance® robotic platform: single center experience

Abstract

Objective

To describe our institution’s initial experience with robot-assisted radical prostatectomy (RARP) using the Senhance® robotic system.

Patients and methods

A prospective analysis of 127 robot-assisted radical prostatectomies was performed. Patient demographics, preoperative and intraoperative parameters, histopathological examination results, intraoperative and early postoperative complications were obtained and analyzed.

Results

The median patient age was 61.0 ± 6.36 (from 37 to 73) years, with a mean body mass index of 26.2 ± 3.79 kg/m2. Of 127 patients, 16.5% (n = 21) underwent a pelvic lymph node dissection, 29.1% (n = 37) underwent one sided or bilateral nerve sparing. Post-operative extracapsular invasion (≥ pT3) was found in 15% (n = 19) of the cases and a Gleason score ≥ 7 in 74.8% of all patients. Our median operative time was 180 ± 41.98 min [interquartile range (IQR) 150–215], and median blood loss was 250 ± 236 (IQR 175–430) ml. Of 127 patients, 33.9% (n = 43) had positive margins, of them 28.7% in pT2 and 57.9% in pT3. Fifteen patients (11.8%) experienced complications, of them only three had Clavien–Dindo ≥ 3. Operation time decreased by about 60 min and estimated blood loss decreased by about 200 ml from the initial experience of each surgeon.

Conclusions

Robotic prostatectomy using a Senhance® robotic system is feasible, and warrants further study to determine whether it can improve patient outcomes.

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Acknowledgements

RV, TT, MV, VJ and AD performed the research; AD, NES designed the research study; RV, MJ and TT performed the surgeries; TT, MV, VJ analysed the data; TT, MV, RV, NES and AD wrote the paper.

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Correspondence to Audrius Dulskas.

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The authors have no competing interests.

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Informed, written consent has been obtained, that studies have been performed according to the Declaration of Helsinki, and that the procedures have been approved by a local ethics committee.

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Venckus, R., Jasenas, M., Telksnys, T. et al. Robotic-assisted radical prostatectomy with the Senhance® robotic platform: single center experience. World J Urol (2021). https://doi.org/10.1007/s00345-021-03792-5

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Keywords

  • Minimally invasive surgery
  • Robotic surgery
  • Senhance® robotic system
  • Prostate cancer
  • Prostatectomy