Feasibility and perioperative outcomes of Senhance-assisted robotic cholecystectomy: a single-arm meta-analysis.
Ye Tao, Wen-Tao Lei, Xin-Min Niu et al.
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In 30 seconds
This single-arm meta-analysis pooled perioperative outcomes from eight studies of Senhance-assisted robotic cholecystectomy, comprising 198 patients. Pooled operative time was 81.48 min (95% CI: 78.52 to 84.44), and the pooled surgical success rate was 96% (95% CI: 90% to 99%). Console time was 39.35 min, docking time 11.54 min, and hospital stay 1.89 days. The findings support feasibility, but the analysis had no comparator group; the authors call for prospective, multicenter comparative studies to clarify the platform’s role.
Key findings
- Across 198 patients, pooled operative time was 81.48 min (95% CI: 78.52 to 84.44; I² = 0.0%).
- The pooled surgical success rate was 96% (95% CI: 90% to 99%; I² = 50.7%).
- Pooled console time was 39.35 min (95% CI: 33.29 to 45.41; I² = 90.0%), and docking time was 11.54 min (95% CI: 8.37 to 14.70; I² = 96.2%).
- Pooled hospital stay was 1.89 days (95% CI: 0.81 to 2.97; I² = 97.9%); sensitivity analysis found it was influenced by one study.
Why it matters
The pooled results provide an initial quantitative picture of operative and perioperative outcomes with this robotic platform. The high pooled success rate and reported operative times may inform assessment of feasibility, while substantial heterogeneity in docking time and hospital stay cautions against assuming consistent performance across settings. Comparative evidence is needed to establish how outcomes relate to conventional laparoscopic cholecystectomy.
What to keep in mind
This single-arm synthesis had no comparator group and included only eight studies and 198 patients. Heterogeneity was high for console time, docking time, and hospital stay; the hospital-stay estimate was sensitive to one study.