Conventional Laparoscopy vs. Robotic-Assisted Laparoscopy for Sacrocolpopexy and Sacrocervicopexy: a Review
| Autor: | S.N. Morris, Marron Wong |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Pelvic organ 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry 030232 urology & nephrology Conventional laparoscopy Small sample General Medicine Abdominal approach Robotic assisted laparoscopy Surgery 03 medical and health sciences 0302 clinical medicine Operative time Medicine sense organs business Laparoscopy Prospective cohort study |
| Zdroj: | Current Obstetrics and Gynecology Reports. 6:243-248 |
| ISSN: | 2161-3303 |
| DOI: | 10.1007/s13669-017-0220-4 |
| Popis: | An abdominal approach to apical pelvic organ prolapse surgery yields superior outcomes in terms of decreased recurrence rates. Furthermore, there is evidence to support that a minimally invasive approach yields better patient outcomes over an abdominal approach. However, there remains debate in the field over which minimally invasive approach is better. In this review, we compare conventional straight stick laparoscopy and robotic-assisted laparoscopy techniques for sacrocolpopexy and sacrocervicopexy (LSC and RASC). We reviewed data from recent retrospective and prospective studies that directly compare LSC and RASC. In particular, we considered complications, operative time, patient outcomes, and cost. Both LSC and RASC have benefits over the traditional open abdominal approach. Complication rates are low and resolution of prolapse is high in both LSC and RASC. Operative time and costs are generally higher in RASC. The existing studies comparing LSC and RASC have relatively small sample sizes. It will be important for further robust prospective studies to directly compare these two common minimally invasive approaches to pelvic organ prolapse. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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