Laparoscopic and robotic sacropexy: retrospective review of learning curve experiences and follow-up

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15110%2F17%3A73581982" target="_blank" >RIV/61989592:15110/17:73581982 - isvavai.cz</a>

Result on the web

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DOI - Digital Object Identifier

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Result language

angličtina

Original language name

Laparoscopic and robotic sacropexy: retrospective review of learning curve experiences and follow-up

Original language description

Objective: To compare conventional laparoscopic (LSC) and robotic (RSC) sacrocolpopexy in the treatment of apical pelvic prolapse during robotic surgery „learning curve“. Operative characteristics, prolapse treatment outcomes, and postoperative results were assessed. Methods: We analyzed consecutive 51 patients treated with laparoscopic sacropexy and 13 women operated with robotic system. Data on patient age, body mass index (BMI), operation history, estimated blood loss, operation time, surgical outcomes (including pelvic organ prolapse quantification - POP-Q), and concomitant surgeries were retrospectively obtained from patient medical records. Subjective outcomes were measured through PGI-I and PISQ-IR questionaires when available at last follow up (n = 26). Results: In both groups all procedures were performed correctly without conversion. The mean operative time was longer in robotic group: 212 (128-394) min, as compared to 164 (80-342) in the laparoscopic group. Blood loss was lower for the robotic 52 (10-200) ml compared to laparoscopic group 58 (10-350) ml. Differences in operative time and blood loss were not statistically significant. Differences between LSC and RSC groups in postoperative results were not stastically significant. Learning curve for robotic sacrocolpopexy was shorter than for laparoscopic procedure in case of experienced laparoscopic surgeons. No recurrences occurred during follow-up. Most patients were satisfied sith surgical results. Conclusion: The present study demonstrated that RSC may be comparable in surgical safety and efficacy. The decision regarding the best surgical approach has to be individualised according to the characteristics of the patient and their preferences as well as the local clinical setting and the surgical expertise of physicians.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

30214 - Obstetrics and gynaecology

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Česká gynekologie

ISSN

1210-7832

e-ISSN

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Volume of the periodical

82

Issue of the periodical within the volume

4

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

7

Pages from-to

261-267

UT code for WoS article

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EID of the result in the Scopus database

2-s2.0-85029680411