Robotic gynaecological surgery using Senhance® robotic platform: Single centre experience with 100 cases

Objective: In this article, we present the first 100 gynaecological robotic surgeries in Klaipeda University Hospital, Klaipeda, Lithuania. Study Design: A prospective analysis was performed of 100 women age range 22-82, on average 52 years. Patients underwent various robotic gynaecological operations, 61 (61 %) procedures were robotic total hysterectomy with bilateral salpingo-oophorectomy. Results: Duration of the surgery varied from 30 min to 185 min, on average 99 +/- 33 min. Of all 25 (25 %) patients had operations in the past. Most operations (72 %) were performed for benign diseases and 28 % of the patients were operated for various types of gynaecological malignancies. All cancer surgeries were radical (RO). In-hospital stay was on average 4 +/- 2.3 days, range 1-14 days. There were six (6%) conversions: one to laparoscopy and five to open. Three (3%) complications occurred during 30 days after surgery, one demanded surgery (Clavien-Dindo II-IIIb). There was no mortality in this patient population. Conclusion: Our early experience with different types of robotic gynaecological surgeries allows us to state that Senhance (R) robotic system is feasible and safe in gynaecology. (C) 2020 Elsevier Masson SAS. All rights reserved.