Comparison of senhance robot-assisted radical prostatectomy and da vinci robot-assisted radical prostatectomy: learning curve, cost analysis and short-term surgical outcomes

You have accessJournal of UrologyCME1 Apr 2023PD01-08 COMPARISON OF SENHANCE ROBOT-ASSISTED RADICAL PROSTATECTOMY AND DA VINCI ROBOT-ASSISTED RADICAL PROSTATECTOMY: LEARNING CURVE, COST ANALYSIS AND SHORT-TERM SURGICAL OUTCOMES 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.0000000000003218.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The Senhance® robotic system (Asensus Surgical Inc, USA) is a new laparoscopy-based robotic platform which has been increasingly used. Currently, there are limited papers discussing the application of Senhance radical prostatectomy (SRP). Here, we compared the SRP learning curve, short-term surgical outcomes and cost analysis with the da Vinci RP (DRP) cases METHODS: From Aug 2019 to April 2022, 65 cases of SRP were performed in National Taiwan University Hospital Yunlin branch. We compared peri-operative data with a prospectively collected 60 cases DRP cohort and a retrospectively collected cohort of initial 60 DRP cases enrolled from the National Taiwan University Hospital. Inclusion criteria was patients with biopsy confirmed prostate cancer, American Association of Anesthesiologists Score ≦3 and without evidence of metastasis. RESULTS: The operative and pathological outcomes of the three cohorts are shown in Table 1. The SRP showed non-inferior results in positive margin rate, blood loss and operative time(OT) than the DRP. We used simple OT to analyze the learning curve. Figure 1-A, 1-B and 1-C represents the OT of experienced LRP-SRP surgeon, LRP-naive SRP surgeons and DRP surgeon respectively. The OT curve showed a much quicker downward trend in the experienced LRP-SRP and DRP surgeons than LRP-naive SRP surgeons. Median cost for each SRP in our hospital was $4170, which was lower than $7675 in the DRP. CONCLUSIONS: Safety and short-term outcomes are comparable between SRP and DRP. For experienced laparoscopic RP surgeon, using Senhance system to perform RP is rather straightforward. With a more affordable price as its biggest advantage, Senhance system may serve as a safe and effective alternative for robotic RP. Source of Funding: Nil © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e66 Advertisement Copyright & Permissions© 2023 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 ...