Initial Experience With Senhance-Assisted Laparoscopic Partial Cystectomy Using the Double Bipolar Method With 3 mm Bipolar Instruments

The Senhance robotic system (Asensus Surgical, Durham, NC, USA) is an innovative platform for minimally invasive surgery. It enables surgeons to perform precise and cost-effective procedures using reusable instruments and has advanced features such as haptic feedback and eye-tracking camera control. Herein, we present the first application of the "double bipolar method" (DBM) in a Senhance-assisted laparoscopic partial cystectomy utilizing 3 mm Maryland bipolar instruments. The DBM technique allows for the simultaneous use of bipolar instruments in both hands, thereby providing exceptional control in tissue dissection and coagulation, which are critical for delicate urologic procedures such as partial cystectomy. We present a case of a 62-year-old female patient who had a 2 cm tumor located at the bladder's dome. Following comprehensive preoperative imaging and cystoscopic evaluation, the tumor was deemed suitable for resection using the Senhance system. The DBM technique enabled the precise and bloodless resection of the bladder wall. Intraoperative evaluation confirmed the complete removal of the tumor and the successful closure of the bladder defect using a barbed suture. The patient had an uncomplicated recovery and was discharged on the eighth postoperative day. The combination of Senhance's advanced features and the DBM technique with 3 mm instruments offers a significant advantage in urologic surgery, providing enhanced precision, cost-efficiency, and improved cosmetic outcomes. The DBM technique in conjunction with the Senhance system represents a promising approach for bladder-sparing surgeries, with the potential for widespread adoption in clinical practice.