Senhance surgical system in benign hysterectomy: A real-world comparative assessment of case times and instrument costs versus da Vinci robotics and laparoscopic-assisted vaginal hysterectomy procedures

Int J Med Robot. 2021 Aug;17(4):e2261. doi: 10.1002/rcs.2261. Epub 2021 Apr 23.


Objectives: Comparison of retrospective, learning curve benign hysterectomy cost and case time data from Senhance total laparoscopic hysterectomy (TLH) cases with similar da Vinci robot cases and laparoscopic-assisted vaginal hysterectomy (LAVH) cases.

Methods: Instrument costs, console time, and case time analysis from six surgeons at four U.S. and European hospitals compared with retrospective, sequential da Vinci TLH and standard laparoscopic LAVH cases extracted from the CAVAlytics database.

Results: Senhance Gyn surgeons in their learning curve when compared to da Vinci learning curve Gyn surgeons achieved lower median instrument costs ($559 vs. $1393, respectively, p < 0.001) with comparable console times (91.5 vs. 96 min, p = 0.898); Senhance and LAVH case costs were comparable ($559 vs. $498, p = 0.336).

Conclusion: In benign hysterectomy, the Senhance system may present a lower-cost approach with equivalent case times compared with similar da Vinci robotic cases.

Keywords: Senhance; benign hysterectomy; da Vinci; laparoscopy; robotics.

MeSH terms

  • Female
  • Humans
  • Hysterectomy
  • Hysterectomy, Vaginal
  • Laparoscopy*
  • Retrospective Studies
  • Robotics*

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