Ramm Olga, Kenton Kimberly
Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics and Gynecology and Urology, Loyola University Chicago, Stritch School of Medicine, 2160 South First Avenue, Maywood, IL 60153, USA.
Curr Bladder Dysfunct Rep. 2011 Jun 30;6(3):176-181. doi: 10.1007/s11884-011-0099-2.
Robotic-assisted laparoscopy is increasingly used in female pelvic reconstructive surgery to combine the benefits of abdominally placed mesh for prolapse outcomes with the quicker recovery time associated with minimally invasive procedures. Level III data suggest that early outcomes of robotic sacrocolpopexy are similar to those of open sacrocolpopexy. A single randomized trial has provided level I evidence that robotic and laparoscopic approaches to sacrocolpopexy have similar short-term anatomic outcomes, although operating times, postoperative pain, and cost are increased with robotics. Patient satisfaction and long-term outcomes of both robotic and laparoscopic sacrocolpopexy are insufficiently studied despite their widespread use in the treatment of prolapse. Given the high reoperative rates for prolapse repairs, long-term follow-up is essential, and well-designed comparative effectiveness research is needed to evaluate pelvic floor surgery adequately.
机器人辅助腹腔镜手术越来越多地应用于女性盆腔重建手术，以结合经腹放置补片治疗盆腔器官脱垂的优势与微创手术相关的更快恢复时间。三级数据表明，机器人辅助骶骨阴道固定术的早期效果与开放性骶骨阴道固定术相似。一项随机试验提供了一级证据，表明机器人辅助和腹腔镜骶骨阴道固定术的短期解剖学效果相似，尽管机器人手术的手术时间、术后疼痛和费用有所增加。尽管机器人辅助和腹腔镜骶骨阴道固定术在治疗盆腔器官脱垂方面广泛应用，但对患者满意度和长期效果的研究尚不充分。鉴于盆腔器官脱垂修复手术的再次手术率较高，长期随访至关重要，需要精心设计的比较有效性研究来充分评估盆底手术。
