“…Over the last decades mechanical and motorized ALI have been developed to help the surgeon overcome the known obstacles of laparoscopy and, thus, making more difficult procedures possible in a minimally invasive manner. But since their introduction few studies have compared motorized ALI to CLI and their benefit is still unclear [ 7 , 9 – 11 , 14 – 16 ]. Some studies only compared tasks performed with motorized needle holders, like Robot DEX™ (Déxtérité Surgical, Annecy, France) or Jaimy® (Endocontrol Company, Grenoble, France) [ 11 , 15 , 16 ], whereas others also used several instruments of the Kymerax™ system (Terumo, Tokyo, Japan) comparable to our study [ 9 , 10 , 14 , 17 ].…”