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全机器人骶骨阴道固定术治疗盆腔器官脱垂的长期疗效。

Long-term outcomes after totally robotic sacrocolpopexy for treatment of pelvic organ prolapse.

机构信息

Department of Digestive Surgery, University Hospital of Nancy-Brabois, Vandoeuvre, 54511 Nancy, France.

出版信息

Surg Endosc. 2013 Feb;27(2):525-9. doi: 10.1007/s00464-012-2472-4. Epub 2012 Jul 18.

Abstract

PURPOSE

This study evaluated the feasibility, safety, effectiveness, and long-term results of pelvic organ prolapse surgery using the Da Vinci robotic system.

METHODS

During a 7-year period, 52 consecutive patients with pelvic organ prolapse underwent robotic-assisted abdominal sacrocolpopexy. Clinical data were retrospectively collected and analyzed.

RESULTS

All but two of the procedures were successfully completed robotically (96 %). Median operative time was 190 (range, 75-340) mins. There was no mortality and no specific morbidity due to the robotic approach. Mean hospital stay was 5 days. The median follow-up was 42 months. Five recurrent prolapses (9.6 %) were diagnosed.

CONCLUSIONS

Our experience indicates that using the Da-Vinci robotic system is feasible, safe, and effective for the treatment of pelvic organ prolapse with good long-term results.

摘要

目的

本研究评估了使用达芬奇机器人系统进行盆腔器官脱垂手术的可行性、安全性、有效性和长期结果。

方法

在 7 年期间,52 例盆腔器官脱垂患者接受了机器人辅助经腹骶骨阴道固定术。回顾性收集并分析了临床数据。

结果

除 2 例外,所有手术均成功完成(96%)。中位手术时间为 190 分钟(范围 75-340 分钟)。没有因机器人手术而导致的死亡和特定的发病率。平均住院时间为 5 天。中位随访时间为 42 个月。诊断出 5 例复发性脱垂(9.6%)。

结论

我们的经验表明,使用达芬奇机器人系统治疗盆腔器官脱垂是可行、安全和有效的,具有良好的长期效果。

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