Department of Urology, The Ohio State University Medical Center, 3128 Cramblett Hall, Columbus, OH 43210, USA.
Ther Adv Urol. 2010 Oct;2(5-06):195-208. doi: 10.1177/1756287210379120.
The current 'gold standard' surgical repair for apical prolapse is the abdominal mesh sacrocolpopexy. Use of a robotic-assisted laparoscopic surgical approach has been demonstrated to be feasible as a minimally invasive approach and is gaining popularity amongst pelvic floor reconstructive surgeons. Although outcome data for robotic-assisted sacrocolpopexy (RASC) is only just emerging, several small series have demonstrated anatomic and functional outcomes, as well as complication rates, comparable to those reported for open surgery. The primary advantages thus far for RASC over open surgery include decreased blood loss and shorter hospital stay.
目前,针对子宫顶端脱垂的“金标准”手术修复方法是经腹部网片阴道骶骨固定术。经腹腔镜机器人手术方法的应用已被证实是一种可行的微创方法,并且在盆底重建外科医生中越来越受欢迎。虽然经腹腔镜机器人阴道骶骨固定术(RASC)的结果数据才刚刚出现,但几项小系列研究已经表明,其解剖和功能结果以及并发症发生率与开放手术报告的结果相当。迄今为止,RASC 相对于开放手术的主要优势包括出血量减少和住院时间缩短。