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Robotic-Assisted Surgery in Children Using the Senhance® Surgical System: An Observational Study
Rianne E M Killaars1,2,3, Ruben G J Visschers1,2, Marc Dirix1,2
1Department of Pediatric Surgery, MosaKids Children's Hospital, Maastricht University Medical Center+ (MUMC+), P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.
Children (Basel, Switzerland)
|August 29, 2024
Summary
Robotic-assisted surgery (RAS) using the Senhance Surgical System (SSS) is safe and feasible for pediatric abdominal procedures. This study shows high success rates and low complication rates in young patients, supporting SSS implementation in pediatric surgery.
Area of Science:
- Pediatric Surgery
- Surgical Technology
- Minimally Invasive Surgery
Background:
- Robotic-assisted surgery (RAS) offers advantages for pediatric procedures, but adult systems are often unsuitable for smaller children.
- The Senhance Surgical System (SSS) features smaller instruments (3mm and 5mm) to facilitate RAS in pediatric patients.
- This study evaluates the safety and feasibility of the SSS in pediatric abdominal surgery.
Purpose of the Study:
- To assess the safety and feasibility of robotic-assisted surgery (RAS) in pediatric patients using the Senhance Surgical System (SSS).
- To provide data supporting the clinical implementation of the SSS in pediatric surgical practice.
Main Methods:
- A prospective observational study was conducted between 2020 and 2023.
- 42 pediatric patients (aged 0-17 years, weight ≥ 10 kg) underwent abdominal RAS using the SSS.
- The use of 3-mm instruments was analyzed in a subset of patients.
Main Results:
- RAS procedures were successfully completed in 90% of cases, with a low conversion rate to conventional laparoscopy (10%) and no conversions to open surgery.
- Intraoperative complications occurred in 2% of cases, and postoperative complications in 14%.
- Overall, 86% of pediatric patients experienced an uncomplicated postoperative course.
Conclusions:
- The Senhance Surgical System (SSS) is demonstrated to be safe and feasible for abdominal robotic-assisted surgery in pediatric patients.
- This study offers crucial data to support the integration of the SSS into routine pediatric surgical care.
- The findings highlight the potential of RAS with the SSS to advance minimally invasive techniques in pediatric surgery.

