Short-Term Outcomes of Robotic-Assisted Sigmoidectomy Using the Senhance Digital Laparoscopy System: A Comparison...

Area of Science:

• Surgical Oncology
• Minimally Invasive Surgery
• Robotic Surgery

Background:

• Colorectal cancer, particularly sigmoid colon cancer, presents a significant health challenge.
• Robotic-assisted surgical systems are emerging as innovative tools in surgical procedures.
• The Senhance Digital Laparoscopy System is gaining attention for its potential in cancer surgery.

Purpose of the Study:

• To evaluate the non-inferiority of Senhance-assisted surgery compared to conventional laparoscopy for sigmoid colon cancer.
• To assess the short-term safety profile of robotic-assisted sigmoidectomy.

Main Methods:

• Retrospective single-center study of sigmoidectomy patients (March 2020-2025).
• Propensity score matching to ensure group comparability.
• Analysis of patient characteristics, surgical outcomes, and pathological data, using Clavien-Dindo for complication grading.

Main Results:

• After matching, 45 patients per group were comparable. Senhance surgery had longer operative times (236 min vs. 204 min, P=.001).
• Postoperative pain scores were significantly lower on day 1 (P=.03) and day 3 (P=.02) with Senhance.
• No significant differences were observed in blood loss, complications, or pathological characteristics between the groups.

Conclusions:

• Senhance-assisted sigmoidectomy demonstrates non-inferiority to conventional laparoscopic surgery regarding short-term safety.
• Robotic assistance may lead to reduced postoperative pain in sigmoid colon cancer surgery.
• Further optimization of surgical techniques may be needed to address operative time differences.