Feasibility and perioperative outcomes of Senhance-assisted robotic cholecystectomy: a single-arm meta-analysis

The Senhance Digital Laparoscopy System (SDLS) is an emerging robotic platform with distinctive features, including haptic feedback, eye-tracking camera control, and reusable instruments compatible with standard laparoscopic trocars. However, comprehensive evidence regarding its application in cholecystectomy remains limited. This single-arm meta-analysis was designed to consolidate the current evidence by quantitatively synthesizing key perioperative outcomes-including operative time, console time, docking time, surgical success rate, and postoperative length of hospital stay-to provide a comprehensive, evidence-based assessment of the feasibility and perioperative outcomes of Senhance-assisted robotic cholecystectomy.

To identify potentially relevant publications, the following electronic databases were systematically queried from their respective inception dates through August 1, 2026: Web of Science, Embase, PubMed, and Cochrane Library. Eligible studies were those reporting perioperative outcomes of Senhance-assisted cholecystectomy. The analysis focused on operative time and console time as primary measures, with docking time, hospital stay, and surgical success rate as secondary measures. all meta-analyses were performed using random-effects models. Subgroup analyses were performed based on economic level, study design, and sample size. Assessment of study quality was conducted using the Joanna Briggs Institute (JBI) case series Critical Appraisal Checklist.