TY - JOUR
T1 - Short-term outcomes of robotic versus conventional laparoscopic sacral colpopexy
AU - Antosh, Danielle D.
AU - Grotzke, Stephanie A.
AU - McDonald, Marcela A.
AU - Shveiky, David
AU - Park, Amy J.
AU - Gutman, Robert E.
AU - Sokol, Andrew I.
PY - 2012
Y1 - 2012
N2 - Objective: This study aimed to compare operative times and short-term outcomes between robotic and laparoscopic sacral colpopexy. Methods: A retrospective cohort study using a convenience samplewas performed comparing patients who underwent robotic and laparoscopic sacral colpopexy during a 4-year period. Operative time, blood loss, perioperative complications, and objective cure of prolapse at 3 months were compared. Results: Robotic procedures in 65 women and laparoscopic sacral colpopexy procedures in 23 women were performed. Median preoperative prolapse was stage 3 for both groups. There was no statistically significant difference in the median operative time between the robotic and laparoscopic groups, although this did not include robot setup time and did include concurrent procedures that differed significantly between groups (334 vs 325 minutes, P = 0.30). Estimated blood loss was lower in the robotic group (50 vs 100 mL, P = 0.003). Median hospital stay was 1 day in both groups (P = 0.23). There were no differences in overall objective cure rates between robotic and laparoscopic groups at 3 months of follow-up (87.1% vs 91.3%, P = 0.72). Perioperative complications, including visceral injury and mesh erosion, did not differ significantly between these groups. Conclusions: Robotic and laparoscopic sacral colpopexy had similar operative times, short-term anatomic cure rates, perioperative complications, and length of hospital stay.
AB - Objective: This study aimed to compare operative times and short-term outcomes between robotic and laparoscopic sacral colpopexy. Methods: A retrospective cohort study using a convenience samplewas performed comparing patients who underwent robotic and laparoscopic sacral colpopexy during a 4-year period. Operative time, blood loss, perioperative complications, and objective cure of prolapse at 3 months were compared. Results: Robotic procedures in 65 women and laparoscopic sacral colpopexy procedures in 23 women were performed. Median preoperative prolapse was stage 3 for both groups. There was no statistically significant difference in the median operative time between the robotic and laparoscopic groups, although this did not include robot setup time and did include concurrent procedures that differed significantly between groups (334 vs 325 minutes, P = 0.30). Estimated blood loss was lower in the robotic group (50 vs 100 mL, P = 0.003). Median hospital stay was 1 day in both groups (P = 0.23). There were no differences in overall objective cure rates between robotic and laparoscopic groups at 3 months of follow-up (87.1% vs 91.3%, P = 0.72). Perioperative complications, including visceral injury and mesh erosion, did not differ significantly between these groups. Conclusions: Robotic and laparoscopic sacral colpopexy had similar operative times, short-term anatomic cure rates, perioperative complications, and length of hospital stay.
KW - Laparoscopic
KW - Outcome
KW - Robotic
KW - Sacral colpopexy
UR - http://www.scopus.com/inward/record.url?scp=84860878044&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84860878044&partnerID=8YFLogxK
U2 - 10.1097/SPV.0b013e31824b218d
DO - 10.1097/SPV.0b013e31824b218d
M3 - Article
C2 - 22543767
AN - SCOPUS:84860878044
SN - 2151-8378
VL - 18
SP - 158
EP - 161
JO - Female Pelvic Medicine and Reconstructive Surgery
JF - Female Pelvic Medicine and Reconstructive Surgery
IS - 3
ER -