MP32-13 TRANSPERITONEAL RADICAL PROSTATECTOMY USING THE SENHANCE ROBOTIC SYSTEM: INITIAL CASE SERIES, LEARNING CURVE AND COST ANALYSIS

Abstract

You have accessJournal of UrologyCME1 May 2022MP32-13 TRANSPERITONEAL RADICAL PROSTATECTOMY USING THE SENHANCE ROBOTIC SYSTEM: INITIAL CASE SERIES, LEARNING CURVE AND COST ANALYSIS Yen-Chun Lin, Lun-Hsiang Yuan, Shi-Wei Huang, Yu-Wen Huang, and Chao-Yuan Huang Yen-Chun LinYen-Chun Lin More articles by this author , Lun-Hsiang YuanLun-Hsiang Yuan More articles by this author , Shi-Wei HuangShi-Wei Huang More articles by this author , Yu-Wen HuangYu-Wen Huang More articles by this author , and Chao-Yuan HuangChao-Yuan Huang More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002581.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The Senhance robotic surgical system (TransEnterix Inc, Morrisville, NC, USA) is a novel laparoscopy-based robotic system, equipped with eye tracking system, haptic feedback system, and reusasble instruments. Currently, only two studies reported their experiences on extra-peritoneal radical prostatectomy. To assess the feasibility, learning curve and cost analysis of the transperitoneal Senhance robotic radical prostatectomy. METHODS: From Aug 2019 to July 2021, the Senhance robotic radical prostatectomies were performed in 44 biopsy confirmed prostate cancer patients.Perioperative data were collected. Complications were graded with Clavien-Dindo classification. Learning curve was analyzed with CUSUM (cumulative summation) method classified by surgeon’s laparoscopic experiences. Total cost for the each operation was also recorded. RESULTS: The median patient age was 67 [64-71.5] years with a mean body mass index of 25.35 [23.3-27.9] kg/m2. The median ASA score was 2±0.35. Median operative time was 246 (107-340) minutes. The median blood loss was 162.5 [50-287.5]ml. Foleys were removed at a median of 7 (3-17) days after surgery. There were 10 cases (22.7%) with Clavien-Dindo grade I/II complications and no case with grade III or IV complications. Among 44 patients, 17( (38.6%) had positive margins, of those 6 cases (13.6%) in pT2 and 11 (25.0%) cases in pT3. Total cost for each Senhance robotic radical prostatectomy was NT$61000-110000 (about US $2200-3970), compared with NT$180000-250000 (abouot US 6400-8900) in da Vinci robotic radical prostatectomy in Taiwan. CONCLUSIONS: The Senhance robotic system is technically feasible and economically affordable. The learning curve depends on surgeons laparoscopic experiences. It may serve as an alternative tool for robotic radical prostatectomy. Source of Funding: nil © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e536 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Yen-Chun Lin More articles by this author Lun-Hsiang Yuan More articles by this author Shi-Wei Huang More articles by this author Yu-Wen Huang More articles by this author Chao-Yuan Huang More articles by this author Expand All Advertisement PDF DownloadLoading ...