Background To assess the learning curve associated with tele-assisted surgery. Methods We performed a training box-based study, describing speed and accuracy in volunteers performing basic and complex laparoscopic tasks, to assess performance and in the skill acquisition of inexperienced users, using the Telelap Alf X system. Ten surgeons in gynaecology who had never received formal instruction on this new surgical device, completed four modules during a consecutive 3 day training programme. Results All the participants completed the training programme with a good learning curve. Conclusions Use of the TELELAP Alf X advanced surgical robotic system is associated with a rapid learning curve among experienced surgeons.
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