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- Title
Robotic-assisted radical prostatectomy with the Senhance<sup>®</sup> robotic platform: single center experience.
- Authors
Venckus, Raimundas; Jasenas, Marius; Telksnys, Titas; Venckus, Martynas; Janusonis, Vinsas; Dulskas, Audrius; Samalavicius, Narimantas E.
- 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.
- Subjects
PROSTATECTOMY; RADICAL prostatectomy; BLOOD loss estimation; LYMPHADENECTOMY; SURGICAL complications; BODY mass index
- Publication
World Journal of Urology, 2021, Vol 39, Issue 12, p4305
- ISSN
0724-4983
- Publication type
Article
- DOI
10.1007/s00345-021-03792-5