Telelap Alf-X-Assisted Laparoscopy for Ovarian Cyst Enucleation: Report of the First 10 Cases

Salvatore Gueli Alletti, Cristiano Rossitto, Francesco Fanfani, Anna Fagotti, Barbara Costantini, Stefano Gidaro, Giorgia Monterossi, Luigi Selvaggi, Giovanni Scambia

Research output: Contribution to journalArticlepeer-review


This prospective single-institutional clinical trial sought to assess the safety and feasibility of laparoscopic benign ovarian cyst enucleation with a novel robotic-assisted laparoscopic system. Here we report a series of 10 patients treated using the Telelap ALF-X system in the first clinical application on patients at the Division of Gynecologic Oncology, Catholic University of the Sacred Heart of Rome. The primary inclusion criterion was the presence of monolateral ovarian cyst without a preoperative assessment suspicious for malignancy. Intraoperative data, including docking time, operative time, estimated blood loss, intraoperative and perioperative complications, and conversion to either standard laparoscopy or laparotomy, were collected. The cysts were removed with an ovary-sparing technique with respect to conservative surgical principles. The median operative time was 46.3 minutes, and patients without postoperative complications were discharged at 1 or 2 days after the procedure. Telelap ALF-X laparoscopic enucleation of benign ovarian cysts with an ovary-sparing technique is feasible, safe, and effective; however, more clinical data are needed to determine whether this approach can offer any other benefits over other minimally invasive surgical techniques.

Original languageEnglish
Pages (from-to)1079-1083
Number of pages5
JournalJournal of Minimally Invasive Gynecology
Issue number6
Publication statusPublished - 2015


  • Ovarian cyst
  • Robotic surgery
  • Telelap ALF-X

ASJC Scopus subject areas

  • Obstetrics and Gynaecology


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