Minimally invasive sacrocolpopexy: efficiency of robotic assistance compared to standard laparoscopy.

Details

Serval ID
serval:BIB_A2729FC4C56B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Minimally invasive sacrocolpopexy: efficiency of robotic assistance compared to standard laparoscopy.
Journal
Journal of robotic surgery
Author(s)
Evangelopoulos N., Nessi A., Achtari C.
ISSN
1863-2491 (Electronic)
ISSN-L
1863-2483
Publication state
Published
Issued date
10/02/2024
Peer-reviewed
Oui
Volume
18
Number
1
Pages
72
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Minimally invasive abdominal sacrocolpopexy (SC) is the treatment of choice for symptomatic, high-grade, apical or multi-compartmental pelvic organ prolapse (POP), in terms of anatomical correction and treatment durability. Robot-assisted sacrocolpopexy (RASC) could be an attractive alternative to the gold standard laparoscopic sacrocolpopexy (LSC), for its ergonomic advantages in such a technically demanding procedure. However, it has not yet proven its superiority, consequently raising cost-effectiveness issues. Our primary objective was to assess if RASC can achieve better overall operative time (OOT) over LSC, with at least equivalent perioperative results. This was a single-center retrospective study including 100 patients (58 consecutive RASC cases and 42 LSC within the same time-period), with primary endpoint the OOT in both groups. Secondary results included complication rate, hospital stay, short-term anatomic results and OOT within and beyond the RASC learning curve. A multivariate linear regression was carried out for our primary outcome. The groups had comparable characteristics, except for BMI, which was lower in RASC group. The mean OOT was significantly lower in the RASC group (188 vs. 217 min, p ≤ 0.01), even after adjusting for possible confounders. Short-term anatomic results, complication rate, and blood loss were similar in the two groups. Mean hospital stay was significantly longer in the RASC group. Average RASC OOT was significantly shorter after the first 20 cases realized. This study demonstrated a significant reduction of OOT for RASC compared to LSC, with similar perioperative results, encouraging further use of the robotic technology for this indication.
Keywords
Humans, Female, Robotics, Robotic Surgical Procedures/methods, Retrospective Studies, Pelvic Organ Prolapse/surgery, Gynecologic Surgical Procedures/methods, Laparoscopy/methods, Treatment Outcome, Da Vinci, Overall operative time, Robotic assistance, Sacrocolpopexy
Pubmed
Web of science
Open Access
Yes
Create date
15/02/2024 17:48
Last modification date
02/03/2024 8:10
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