Senhance robotic platform for gynecologic surgery: a review of literature

  • Valerio RumoloEmail author
  • Andrea Rosati
  • Alessandro Tropea
  • Antonio Biondi
  • Giovanni Scambia
Review Article


The advantages of endoscopic procedures are well demonstrated in various surgical procedures. In this field, the technological improvement has been significant. One of the most relevant was made by the introduction of robotic surgery that, thanks to the instruments articulation and the precision of movement, made possible to perform even the most complex procedures. The terms “Alf-X” OR “Senhance” OR “robot” OR “robotic” were systematically used to search the PubMed and Scopus databases. The principal findings considered in the present review were: the study design, the number of patients included in each study, operative time, estimated blood loss (EBL), conversion rate to standard laparoscopy (SLPS) or laparotomy (LPT), post-operative complications, post-operative hospital stay, and the possible advantages and disadvantages reported by the authors of the studies. A total of eight studies were considered eligible for the present review. The average operative time for TH reported was 110–140 min. In two case–control studies, the operative time was significantly prolonged (P < 0.05) for robotic procedures when compared with SLPS. The EBL was ≤ 100 ml in all studies. Whereas no statistically significant differences were shown in the two case–control studies in terms of conversion to LPT, all studies were in accordance with the post-operative hospital stay, reporting an average of 2 days for total hysterectomy and 1 day for adnexal surgery.


Robotic surgery Senhance Robotic platform Hysterectomy Alf-x Endoscopy 



The work was not supported by any fund/grant.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants and/or animals

All procedures performed in studies involving animals 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.

Informed consent

Informed consent was obtained from all subjects.


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Copyright information

© Italian Society of Surgery (SIC) 2019

Authors and Affiliations

  • Valerio Rumolo
    • 1
    Email author
  • Andrea Rosati
    • 1
  • Alessandro Tropea
    • 2
  • Antonio Biondi
    • 3
  • Giovanni Scambia
    • 1
  1. 1.Unità Operativa Ginecologia Oncologica, Dipartimento Scienze della Salute della Donna e del BambinoFondazione Policlinico Universitario A. Gemelli, IRCCSRomeItaly
  2. 2.Department for the Treatment and Study of Abdominal Diseases and Abdominal Transplantation, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione)University of Pittsburgh Medical Center ItalyPalermoItaly
  3. 3.Department of General Surgery and Medical Surgical SpecialtiesUniversity of CataniaCataniaItaly

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