A Comparative Analysis of Long-Term Efficacy and Complications Between Robot Assisted Laparoscopy and Traditional Laparoscopic Sacrocolpopexy for the Treatment of Pelvic Organ Prolapse
- VernacularTitle:机器人辅助腹腔镜与传统腹腔镜骶骨阴道固定术治疗盆腔器官脱垂长期疗效及远期并发症的比较分析
- Author:
Jiahui ZHANG
1
;
Mei JI
1
;
Zhao ZHAO
1
Author Information
1. 郑州大学第一附属医院妇科,河南郑州 450000
- Publication Type:Journal Article
- Keywords:
Pelvic organ prolapse;
Da Vinci Robot;
Laparoscope;
Sacrocolpopexy;
Long-term efficacy;
Long-term complication
- From:
Journal of Practical Obstetrics and Gynecology
2025;41(6):485-489
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the long-term efficacy and incidence of complications between robotic-assis-ted sacrocolpopexy(RASC)and traditional laparoscopic sacrocolpopexy(LSC)in the treatment of pelvic organ prolapse(POP),and to explore the clinical efficacy of RASC.Methods:Clinical data of 258 POP patients who un-derwent RASC or LSC in the First Affiliated Hospital of Zhengzhou University from June 2014 to September 2023 were collected and retrospectively analyzed.They were divided into RASC group(109 cases)and LSC group(149 cases)according to the surgical procedure.The postoperative and intraoperative conditions between the groups were statistically analyzed and compared,the long-term complications were followed up.The scores of the pelvic floor dysfunction questionnaire(PFDI-20)and pelvic floor dysfunction impact questionnaire(PFIQ-7)were com-pared between groups and within groups to reflect the long-term postoperative efficacy of patients,so as to evalu-ate the surgical effect.Results:①There were no significant differences between the two groups after surgery in the incidence of long-term complications such as recurrence of prolapse,exposure to mesh,polyps of stump of vagina,difficulty defecation,new urinary incontinence,osteomyelitis,lumbago,lower abdominal pain(P＞0.05);②There were statistically significant differences in operation time,intraoperative blood loss,intestinal recovery time and postoperative hospital stay between the two groups(P＜0.05);③In the two groups,PFDI-20 and PFIQ-7 scores at 6 months,1 year,3 years,5 years,and more than 5 years after surgery were significantly different from those before surgery(P＜0.05).However,there was no statistically significant difference in the PFDI-20 and PFIQ-7 scores between the two groups at each postoperative time point(P＞0.05);④There were statistically sig-nificant differences in POP-Q indicator points Aa,Bb,C,Ap,and Bp between each group at 6 months and 1 year after surgery compared to preoperative levels(P＜0.05).However,there was no statistically significant difference in POP-Q indicator point values between the two groups at each time point(P＞0.05);⑤The operations in both groups were successfully completed(100％)without conversion to laparotomy,and the postoperative recovery was satisfactory.Conclusions:Compared with LSC,RASC has the advantages of less intraoperative bleeding,shorter operation time,faster recovery of intestinal function,and shorter hospital stay.Meanwhile,RASC and LSC can achieve similar results in long-term efficacy and postoperative long-term complications.RASC can be a major choice for the treatment of pelvic organ prolapse patients.
