Li Xiu-Li, Liu Zhong-Yu, Zhou Ning, Zhu Tongyu, Yang Yi-Zhuo, Yao Yuan-Qing
Department of Obstetrics and Gynecology, Hainan Branch of PLA General Hospital, Sanya, China.
Department of Obstetrics and Gynecology, PLA General Hospital, Beijing, China; Department of Obstetrics, The General Hospital of Jinan Military Command, Jinan, China.
Int J Surg. 2016 Mar;27:128-132. doi: 10.1016/j.ijsu.2016.01.090. Epub 2016 Jan 28.
To evaluate the long-time clinical outcomes of robotic sacral hysteropexy for pelvic organ prolapse (POP).
Five women who underwent robotic sacral hysteropexy for the treatment for POP. Blood loss, operative time, length of stay, blood transfusion, pulmonary embolus, gastrointestinal or genitourinary tract injury, ileus, bowel obstruction, post-operative fever, and urinary retention were recorded for all patients.
All the operative procedures were successfully performed using the robotic approach. In one case with perineal laceration, perineal repair was simultaneously performed, and in one patient with combined leiomyoma, myomectomy was performed first. The other three cases underwent no additional procedures during the surgery. Neither intra-nor post-operative complications occurred in all 5 cases. After follow-up one year, all patients declared their satisfaction with the achieved anatomical and functional results.
The robotic sacral hysteropexy is a minimally invasive technique for POP repair. We found low complication rates and high patient satisfaction with a minimum of 1 year followup. Larger series with longer follow-up data are needed to justify its widespread use.
评估机器人骶骨阴道固定术治疗盆腔器官脱垂（POP）的长期临床疗效。
五名接受机器人骶骨阴道固定术治疗POP的女性。记录所有患者的失血量、手术时间、住院时间、输血情况、肺栓塞、胃肠道或泌尿生殖道损伤、肠梗阻、术后发热及尿潴留情况。
所有手术均采用机器人手术方式成功完成。1例伴有会阴裂伤的患者同时进行了会阴修补，1例合并平滑肌瘤的患者先进行了肌瘤切除术。其他3例手术中未进行额外操作。所有5例患者术中及术后均未发生并发症。随访1年后，所有患者均对所取得的解剖和功能结果表示满意。
机器人骶骨阴道固定术是一种用于POP修复的微创技术。我们发现，在至少1年的随访中，该技术并发症发生率低，患者满意度高。需要更大规模的系列研究及更长时间的随访数据来证明其广泛应用的合理性。
