Our Summary

This study looked at a new system called the Senhance digital laparoscopy system (SDLS), which is used for endoscopic surgery. The research specifically looked at its use in gallbladder removal surgery (cholecystectomy). The study included 30 patients and the surgeries were performed by one surgeon.

The time it took to prepare the system (docking time), the time spent performing the surgery (cockpit time), and the total operation time were all recorded. The times got shorter the more surgeries the surgeon performed.

In three cases (10%), the surgeon had to switch to traditional laparoscopic surgery because the inflammation was too severe. However, no one needed to have open surgery.

After the surgery, there were no complications of a serious nature.

In conclusion, the study suggested that using the SDLS for gallbladder removal appears to be safe and feasible in certain cases where there isn’t severe inflammation.

FAQs

  1. What is the Senhance digital laparoscopy system (SDLS) used for in this study?
  2. How does the severity of inflammation impact the use of the SDLS in gallbladder removal surgery?
  3. What were the recorded outcomes and complications after using the SDLS for gallbladder removal?

Doctor’s Tip

A doctor might tell a patient that using the Senhance digital laparoscopy system for cholecystectomy appears to be safe and feasible, especially in cases where there isn’t severe inflammation. It is important for patients to discuss the potential benefits and risks of using this system with their surgeon before undergoing gallbladder removal surgery.

Suitable For

Patients who are typically recommended for cholecystectomy include those with symptomatic gallstones, biliary dyskinesia, acute cholecystitis, chronic cholecystitis, gallbladder polyps, and gallbladder cancer. Additionally, patients who have recurrent episodes of biliary colic or complications from gallstones such as pancreatitis may also be recommended for cholecystectomy.

Timeline

Before the cholecystectomy:

  1. Patient experiences symptoms of gallbladder issues such as pain, bloating, nausea, and vomiting.
  2. Patient undergoes diagnostic tests such as ultrasound and blood tests to confirm the need for surgery.
  3. Patient consults with a surgeon to discuss treatment options and schedule the cholecystectomy.

After the cholecystectomy:

  1. Patient undergoes the cholecystectomy using the Senhance digital laparoscopy system.
  2. Surgery is performed efficiently with shorter docking time, cockpit time, and total operation time.
  3. In some cases, the surgeon may switch to traditional laparoscopic surgery if inflammation is too severe.
  4. After the surgery, the patient experiences no serious complications.
  5. Patient is discharged from the hospital and recovers at home, gradually resuming normal activities.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with cholecystectomy using the Senhance digital laparoscopy system?
  2. How does the Senhance system compare to traditional laparoscopic surgery in terms of recovery time and outcomes?
  3. Is the Senhance system suitable for all patients undergoing cholecystectomy, or are there certain criteria that need to be met?
  4. How experienced are you in using the Senhance system for cholecystectomy surgeries?
  5. What is the success rate of cholecystectomy using the Senhance system at your facility?
  6. Will I need to undergo any additional tests or evaluations before the surgery to determine if I am a suitable candidate for the Senhance system?
  7. How long will the recovery process be after undergoing cholecystectomy with the Senhance system?
  8. Are there any specific post-operative care instructions or restrictions I should follow after the surgery?
  9. How many cholecystectomy surgeries have been performed using the Senhance system at your facility, and what has been the overall patient satisfaction rate?
  10. Are there any long-term considerations or follow-up appointments I should be aware of after undergoing cholecystectomy with the Senhance system?

Reference

Authors: Sasaki T, Tomohisa F, Nishimura M, Arifuku H, Ono T, Noda A, Otsubo T. Journal: Asian J Endosc Surg. 2023 Apr;16(2):225-232. doi: 10.1111/ases.13143. Epub 2022 Nov 23. PMID: 36418001