Objective: In the last decade robotic surgery has acquired a more important role in gynecologic surgery [1]. Recently, the new robotic platform Telelap ALF-X (TRANSENTERIX Inc., USA) has been proposed as an alternative system to bridge the gap between robotic and laparoscopic features. This new robotic device provides a novel approach to endoscopy thanks to remote 3D vision with an eye-tracking camera control system, an incorporated haptic interaction and high configuration versatility due to total robotic arms independency. These technical characteristics, combined with fully reusable instruments and conventional 5-mm ports.The aim is to show the new surgical approach in treatment of early stage endometrial cancer using new robotic platform ALF-X.Methods: The patient was 70 years old women affected by endometrioid endometrial carcinoma stage IA (FIGO 2009) diagnosed by endometrial biopsy and radiologic examinations. She had no past medical history and the body mass index was 29.14 kg/m(2). We performed laparoscopic Class A Querleu-Morrow total Hysterectomy [2] and bilateral salpingo-oophorectomy using Telelap ALF-X [3].Results: Total operative time was 98 min and 9 min for docking time. The estimated blood loss was 50 mL. The patient was discharged home on postoperative day 2 and no complications were noted according to Dindo classification [4].Conclusions: Despite the absence of articulated instrument, total hysterectomy performed using Telelap ALF-X is technically feasible and the use of this novel robotic platform allowed to maintain the standard laparoscopic setting. Further studies are mandatory to define the benefits, advantages, and costs of this novel approach.

Telelap ALF-X total hysterectomy for early stage endometrial cancer: New frontier of robotic gynecological surgery

Cianci S.;
2016

Abstract

Objective: In the last decade robotic surgery has acquired a more important role in gynecologic surgery [1]. Recently, the new robotic platform Telelap ALF-X (TRANSENTERIX Inc., USA) has been proposed as an alternative system to bridge the gap between robotic and laparoscopic features. This new robotic device provides a novel approach to endoscopy thanks to remote 3D vision with an eye-tracking camera control system, an incorporated haptic interaction and high configuration versatility due to total robotic arms independency. These technical characteristics, combined with fully reusable instruments and conventional 5-mm ports.The aim is to show the new surgical approach in treatment of early stage endometrial cancer using new robotic platform ALF-X.Methods: The patient was 70 years old women affected by endometrioid endometrial carcinoma stage IA (FIGO 2009) diagnosed by endometrial biopsy and radiologic examinations. She had no past medical history and the body mass index was 29.14 kg/m(2). We performed laparoscopic Class A Querleu-Morrow total Hysterectomy [2] and bilateral salpingo-oophorectomy using Telelap ALF-X [3].Results: Total operative time was 98 min and 9 min for docking time. The estimated blood loss was 50 mL. The patient was discharged home on postoperative day 2 and no complications were noted according to Dindo classification [4].Conclusions: Despite the absence of articulated instrument, total hysterectomy performed using Telelap ALF-X is technically feasible and the use of this novel robotic platform allowed to maintain the standard laparoscopic setting. Further studies are mandatory to define the benefits, advantages, and costs of this novel approach.
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11591/430292
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 18
  • ???jsp.display-item.citation.isi??? 17
social impact