Experimental Nephrectomies Using a Novel Telesurgical System: (The Telelap ALF-X)-A Pilot Study

Area of Science:

• Minimally Invasive Surgery
• Surgical Robotics
• Urology

Background:

• The SOFAR® Telelap Alf-X is a novel telesurgical system integrating laparoscopic and open surgery benefits.
• It features tactile perception, open site view, eye-tracking camera control, and enhanced ergonomics.

Purpose of the Study:

• To evaluate the feasibility and safety of performing nephrectomies using the Telelap Alf-X telesurgical system.
• To assess the system's performance in a preclinical setting.

Main Methods:

• Twelve female swine underwent nephrectomies utilizing the Telelap Alf-X system.
• Data collected included operative times, estimated blood loss (EBL), surgical techniques, and intraoperative complications.

Main Results:

• The Telelap Alf-X system exhibited rapid docking (under one minute) and versatility throughout the nephrectomy procedure.
• Operative times significantly decreased with experience, and minimal blood loss was observed.
• One intraoperative complication (Vena Cava injury) occurred, successfully repaired with the robotic system.

Conclusions:

• The Telelap Alf-X system is safe, reliable, and surgeon-friendly.
• Nephrectomies in a porcine model provide an effective platform for gaining experience with the system and minimizing potential complications.