Journal of Robotic Surgery

, Volume 12, Issue 3, pp 575–577 | Cite as

3 mm Senhance robotic hysterectomy: a step towards future perspectives

  • Salvatore Gueli AllettiEmail author
  • Emanuele Perrone
  • Stefano Cianci
  • Cristiano Rossitto
  • Giorgia Monterossi
  • Federica Bernardini
  • Giovanni Scambia
Letter to the Editor

Dear Editor,

In the last two decades, surgical approach for hysterectomy has evolved significantly [1]. On the one hand single-site surgery, minilaparoscopy and the more recent percutaneous approach have led to an increasing search of minimal invasiveness [2]; on the other hand, technology reached the highest expression in robotics [3, 4].

Whereas minimizing laparoscopic access permitted to achieve a further and significant reduction of invasiveness while maintaining surgical adequacy, robotic technology allowed the possibility to overcome common limits of laparoscopic approach extending the advantages of endoscopic surgery to “difficult cases” for whom the only surgical way would have been an extensive laparotomy.

Apparently, these two trends deeply diverge from each other.

However, technological improvement is constantly redefining the concept of the “minimal” surgical approach. In 2013 the introduction of Telelap ALF-X robotic system (now called Senhance—Transenterix USA)...


Compliance with ethical standards

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of interest

S. Gueli Alletti was a consultant for Transenterix Company at the time of writing the present paper. Doctors Perrone, Cianci, Rossitto, Bernardini and Scambia have no conflict of interest to declare.


  1. 1.
    Turner LC, Shepherd JP, Wang L, Bunker CH, Lowder JL (2013) Hysterectomy surgery trends: a more accurate depiction of the last decade? Am J Obstet Gynecol 208(4):277.e1–7. (Epub 2013 Jan 17) CrossRefPubMedGoogle Scholar
  2. 2.
    Rossitto C, Cianci S, Gueli Alletti S, Perrone E, Pizzacalla S, Scambia G (2017) Laparoscopic, mini-laparoscopic, single-port and percutaneous hysterectomy: comparison of perioperative outcomes of minimally invasive approaches in gynecologic surgery. Eur J Obstet Gynecol Reprod Biol 216:125–129. (Epub 2017 Jul 19) CrossRefPubMedGoogle Scholar
  3. 3.
    Yamasato K, Casey D, Kaneshiro B, Hiraoka M (2014) Effect of robotic surgery on hysterectomy trends: implications for resident education. J Minim Invasive Gynecol 21(3):399–405. (Epub 2013 Oct 27) CrossRefPubMedGoogle Scholar
  4. 4.
    Fanfani F, Restaino S, Gueli Alletti S, Fagotti A, Monterossi G, Rossitto C, Costantini B, Scambia G (2015) TELELAP ALF-X robotic-assisted laparoscopic hysterectomy: feasibility and perioperative outcomes. J Minim Invasive Gynecol. 22(6):1011–1017. (Epub 2015 May 14) CrossRefPubMedGoogle Scholar
  5. 5.
    Gueli Alletti S, Rossitto C, Fanfani F, Fagotti A, Costantini B, Gidaro S, Monterossi G, Selvaggi L, Scambia G (2015) Telelap ALF-X-assisted laparoscopy for ovarian cyst enucleation: report of the first 10 cases. J Minim Invasive Gynecol 22(6):1079–1083. (Epub 2015 May 16) CrossRefPubMedGoogle Scholar
  6. 6.
    Fanfani F, Monterossi G, Fagotti A, Rossitto C, Gueli Alletti S, Costantini B, Gallotta V, Selvaggi L, Restaino S, Scambia G (2016) The new robotic TELELAP ALF-X in gynecological surgery: single-center experience. Surg Endosc 30(1):215–221. (Epub 2015 Apr 4) CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Gynecologic Oncology, Department of Obstetrics and Gynecologic“Policlinico A. Gemelli” FoundationRomeItaly
  2. 2.Division of Gynecologic OncologyCatholic University of the Sacred HeartRomeItaly

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