Table 2.
Studies concerning telelap alf-x/senhance (AX/S) robotic surgery
Authors, years | Type of study | Cases number |
Surgery | Stage | OT min |
Ebl ml |
Conversion rate |
HS day |
Complication number/type |
Outcomes | BMI median |
---|---|---|---|---|---|---|---|---|---|---|---|
Gueli Alletti et al., 2018 | Pilot study | 10 | Hysterectomy and bilateral salpingo-oophorectomy | 10 IA | 110 | 100 | 0 | 2 | 0 |
AX/S platform could be safe for hysterectomy even in obese patients |
33.3 |
Rossitto et al., 2016 | Retrospective study. Cost analysis | 81 | Hysterectomy, bilateral salpingo-oophorectomy with or without pelvic node dissection | 81 IA | 215 | 30 |
6 3 laparoscopy: hemorrhage, bladder injury, large uterine size 3 Laparotomy: large uterus, fixed uterus, anaesthesiology issue |
2 |
2 1 bladder injury 1 severe intra-operative bleeding |
AX/S robotic hysterectomy is feasible and safe and could offer specific advantages in terms of cost |
– |
Gueli Alletti et al., 2016 | Retrospective cohort study | 43 | Hysterectomy, bilateral salpingo-oophorectomy with or without pelvic node dissection | 43 IA | 160 | 62 |
3 1 Laparoscopy: Large uterus 2 Laparotomy: severe adhesions, anaesthesiology issue |
2 |
1 1 pelvic hematoma |
AX/S approach is feasible and safe in endometrial cancer staging | 25 |
Fanfani et al., 2015 | Phase II study | 44 |
Hysterectomy, salpingo-oophorectomy, pelvic node dissection |
28 IA 16 IB |
197 | 30 |
5 3 Laparoscopy: intraoperative hemorrhage, bladder injury, large uterine size 2 Laparotomy: large uterus, anesthesiology issue |
2 |
2 1 bladder injury 1 severe intraoperative bleeding |
AX/S approach is feasible and safe in endometrial cancer staging | 24 |
Fanfani et al., 2015 | Phase II study | 34 |
Hysterectomy, salpingo-oophorectomy, pelvic node dissection |
34 IA | 160 | 50 |
3 1 Laparoscopy: intraoperative bleeding 2 Laparotomy: Large uterine size, anesthesiology issue |
2 | 0 | AX/S is feasible and safe | 23.7 |
OT operative time, HS hospital stay, Ebl estimated blood loss, AX/S telelap alf-x/senhance, BMI body mass index