Evidence map›Paper›PMID 40632309›Full record

ArticleLangenbeck's archives of surgery2025

Safety with the senhance™ robotic system in 3,239 patients across various surgical disciplines.

Ludger Staib, Frank Willeke, Dietmar Stephan, Vivianda Menke, Olaf Hansen, Narimantas Evaldas Samalavicius, Vaida Nausediene, Burghard Abendstein, Tomislav Kulis, Christian Jackisch and 4 more

Abstract readMulticenter Study
In one paragraph

Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Ludger StaibDepartment of General and Visceral Surgery, City Hospital Esslingen, Esslingen, Germany. l.staib@klinikum-esslingen.de.
Frank WillekeDepartment of Minimally Invasive and Robotic Surgery, Clinic for General, Visceral, and Vascular Surgery, St.- Marien Hospital Siegen, Siegen, Germany.
Dietmar StephanDepartment of Minimally Invasive and Robotic Surgery, Clinic for General, Visceral, and Vascular Surgery, St.- Marien Hospital Siegen, Siegen, Germany.
Vivianda MenkeDepartment of General and Visceral Surgery, Evangelical Hospital Wesel, Wesel, Germany.
Olaf HansenDepartment of General and Visceral Surgery, Evangelical Hospital Wesel, Wesel, Germany.
Narimantas Evaldas SamalaviciusDepartment of Surgery, Republican Vilnius University Hospital, Vilnius, Lithuania.
Vaida NausedieneDepartment of Surgery, Republican Vilnius University Hospital, Vilnius, Lithuania.
Burghard AbendsteinDepartment of Obstetrics and Gynaecology, Feldkirch State Hospital, Feldkirch, Austria.
Tomislav KulisDepartment of Urology, University Hospital Centre Zagreb, Zagreb, Croatia.
Christian JackischDepartment of Obstetrics and Gynaecology, Sana Hospital Offenbach, Offenbach, Germany.
Michael LeinDepartment of Urology, Sana Hospital Offenbach, Offenbach, Germany.
Johannes SchmidtDepartment of Surgery, LAKUMED Hospital, Landshut-Achdorf, Germany.
Friedemann HorstDepartment of General and Visceral Surgery, Evangelical Hospital Goettingen-Weende, Göttingen-Weende, Germany.
Mareike Kristina MöllerDepartment of General and Visceral Surgery, Evangelical Hospital Goettingen-Weende, Göttingen-Weende, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAt present, robotic surgery has found its most frequent application in gastrointestinal, gynaecological, and urological procedures, presenting a seamless integration of advanced technology. The Senhance™ Robotic System certainly contributes to this evolution, gracefully employed to enhance precision and efficacy in these surgical disciplines. However, safety data, such as conversion rates, robotic malfunctions, and adverse event rates, are still lacking on a large scale.

methodsTo shed light on this, data from nine European centres (N = 3,239) was collected prospectively as part of the TRUST registry.

resultsOur results present most data from gastrointestinal surgery (2,132 cases), followed by procedures from gynaecology (609 cases) and urology (498 cases). Overall, we found a conversion rate of 4.5% (147 cases). Robotic malfunctions were seen in 3% (96 cases) of the procedures, with console malfunctions occurring in 0.5% (16 cases), monitor or camera issues affecting 0.5% (17 cases), and other malfunctions registered in 2.1% (69 cases). The most common robotic limitations were displayed by limited motion (15.6%, 505 cases) and collisions (6.2%, 202 cases). Finally, we found a 3.9% rate of adverse events, with 127 episodes across all three disciplines. Most adverse events were judged as mild in severity (53 cases) and unrelated (101 cases) to the robotic system. Additionally, only one case was considered to be certainly related to the Senhance™ Robotic System, and just three serious adverse events occurred intraoperatively.

conclusionIn conclusion, our data demonstrates that performing gastrointestinal, gynaecological, and urological surgeries with the Senhance™ Robotic System can be safe for patients and surgeons.

Indexed as

Patient SafetyRobotic Surgical ProceduresAdultAgedEquipment FailureEuropeFemaleGynecologic Surgical ProceduresHumansMaleMiddle AgedProspective StudiesRegistriesUrologic Surgical ProceduresMinimally invasive surgeryRobotic surgerySafety in surgerySenhance™ robotic system

Identifiers

PMID40632309
PMCPMC12241274

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.