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. 2022 Apr 2;74(3):843–855. doi: 10.1007/s13304-022-01248-y

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