Efficacy and safety of robotic arm assisted laparoscopic hysterosacral fixation in patients with pelvic organ prolapse
10.3760/cma.j.issn.0254-9026.2021.11.014
- VernacularTitle:机器臂辅助腹腔镜下子宫骶骨固定术对盆腔器官脱垂患者的疗效和安全性
- Author:
Lingfeng MENG
1
;
Miao WANG
;
Zijian TIAN
;
Huimin HOU
;
Xiaodong LIU
;
Yunhe ZHOU
;
Shuangyi ZHAO
;
Xin CHU
;
Jianye WU
;
Yaoguang ZHANG
Author Information
1. 北京医院泌尿外科 尿控盆底疾病诊治中心，国家老家医学中心 中国医学科学院老年医学研究院，北京 100730
- Keywords:
Prolapse;
Laparoscopes;
Robotics;
Hysterosacral fixation
- From:
Chinese Journal of Geriatrics
2021;40(11):1407-1411
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy and safety of robotic arm assisted laparoscopic hysterosacral fixation in patients with pelvic organ prolapse(POP), and its impact on lower urinary tract function.Methods:This study retrospectively analyzed the clinical data of POP patients who had undergone robotic arm assisted laparoscopic hysterosacral fixation at our center from June 2019 to October 2020, and conducted exploratory research.Results:A total of 6 patients were included in the study, with POP quantitative staging above stage Ⅲ.The ages ranged from 70 to 82 years.The number of births each patient had given ranged from 1 to 3, & all were via vaginal deliveries.There were no significant changes in urodynamic parameter scores in any patients before and after surgery, but half of the patients had detrusor overactivity before surgery, which all disappeared after surgery.In addition, synchronous X-ray images showed that the postoperative pelvic organs were closer to the normal anatomical position.At the same time, quantitative staging of POP had achieved clear improvement, and related scale scores also significantly improved.One patient complained of occasional lumbar and back discomfort with postoperative over-stretching during outpatient review, which improved after symptomatic treatment.Conclusions:robotic arm assisted Laparoscopic hysterosacral fixation is satisfactory in efficacy and safety for POP patients, with good postoperative restoration of the uterus to the anatomical position and has insignificant influence on the function of the lower urinary tract.It is worth further assessment for wide application.
