Tan-Kim Jasmine, Menefee Shawn A, Luber Karl M, Nager Charles W, Lukacz Emily S
From the *Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Reproductive Medicine, University of California, San Diego, La Jolla; and †Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Kaiser Permanente San Diego, San Diego, CA.
Female Pelvic Med Reconstr Surg. 2011 Jan;17(1):44-9. doi: 10.1097/SPV.0b013e3181fa44cf.
: To compare operative times, hospital costs, and surgical outcomes for robotic-assisted laparoscopic sacrocolpopexy (RALSC) and laparoscopic sacrocolpopexy (LSC).
: A retrospective cohort study of 104 subjects who underwent RALSC (n = 43) or LSC (n = 61) for vaginal vault prolapse was performed. The primary outcomes were operative time and hospital costs. The secondary outcomes included blood loss, complications, and objective cure rates. χ and t tests were used.
: The mean operative time was longer in RALSC than in LSC (281 ± 58 vs 206 ± 42 minutes; P < 0.001) with setup time accounting for only 9 minutes of this difference. Direct costs (expressed in cost units) for hospital stay were similar (437 ± 88 vs 450 ± 119 units; P = 0.738) while surgical costs remained higher for RALSC (2724 ± 413 vs 2295 ± 342 units; P < 0.01). Blood loss and complications were similar, and objective cure was not significantly different for RALSC vs LSC (90% vs 80%, P = 0.19).
: Robotic-assisted laparoscopic sacrocolpopexy achieves similar perioperative outcomes compared to LSC with increased surgical time resulting in increased costs.
比较机器人辅助腹腔镜骶骨阴道固定术（RALSC）和腹腔镜骶骨阴道固定术（LSC）的手术时间、住院费用及手术效果。
对104例行RALSC（n = 43）或LSC（n = 61）治疗阴道穹窿脱垂的患者进行回顾性队列研究。主要结局指标为手术时间和住院费用。次要结局指标包括失血量、并发症及客观治愈率。采用χ检验和t检验。
RALSC的平均手术时间长于LSC（281±58分钟 vs 206±42分钟；P < 0.001），其中设置时间仅占该差异的9分钟。住院的直接费用（以费用单位表示）相似（437±88单位 vs 450±119单位；P = 0.738），而RALSC的手术费用仍然较高（2724±413单位 vs 2295±342单位；P < 0.01）。失血量和并发症相似，RALSC与LSC的客观治愈率无显著差异（90% vs 80%，P = 0.19）。
与LSC相比，机器人辅助腹腔镜骶骨阴道固定术围手术期效果相似，但手术时间增加导致费用增加。
