Yin Huifang, Zeng Fei, Xue Min, Tian Xingbo
Department of Gynecology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2020 Jun 28;45(6):709-714. doi: 10.11817/j.issn.1672-7347.2020.190517.
To assess short-term functional outcomes achieved by robot-assisted sacrocolpopexy for pelvic organ prolapse.
We retrospectively collected clinical and operative data for female patients who underwent either pure laparoscopic sacrocolpopexy (a control group, =20) or robot-assisted laparoscopic sacrocolpopexy (a study group, =20) between December 2017 and December 2018. The clinical indicators included age, gestational age, parity, the stage of pelvic organ prolapse. Perioperative data included operative time and total blood loss. Post-operative outcomes included hospital stay, the time of detaining urethral catheterization, and the restart of anal exhaust after surgery. At the same time, complications and quality of life were observed till 6 months after the surgery.
There were no definitely differences in the perioperative data between the 2 groups. It is worth mentioning that robot-assisted laparoscopic sacrocolpopexy was superior in strict operative time. With a follow-up of 6 months, the study group's anatomic repair rate was 100% (20/20), while the control group was 95% (19/20). Pelvic Floor Distress Inventory-short Form 20 (PFDI-20) and Pelvic Floor Impact Questionnaire-short Form 7 (PFIQ-7) were used to evaluate patients' quality of life. There was no significant difference in the scores between the study group and the control group before and 6 months after surgery. Only the data of the PFDI-20 questionnaires at 1 month after operation were statistically significant, and in the control group was larger than that in the study group, showing that robotic surgery can recover faster than laparoscopy, and the quality of life can be improved quickly.
Robot-assisted laparoscopic sacrocolpopexy is a safe and reliable technique, faster than laparoscopy in recovery and has a short-term effect.
评估机器人辅助骶骨阴道固定术治疗盆腔器官脱垂的短期功能结局。
我们回顾性收集了2017年12月至2018年12月期间接受单纯腹腔镜骶骨阴道固定术（对照组，n = 20）或机器人辅助腹腔镜骶骨阴道固定术（研究组，n = 20）的女性患者的临床和手术数据。临床指标包括年龄、孕周、产次、盆腔器官脱垂的分期。围手术期数据包括手术时间和总失血量。术后结局包括住院时间、留置导尿管时间和术后肛门排气恢复时间。同时，观察术后6个月的并发症和生活质量。
两组围手术期数据无明显差异。值得一提的是，机器人辅助腹腔镜骶骨阴道固定术在严格的手术时间方面更具优势。随访6个月时，研究组的解剖修复率为100%（20/20），而对照组为95%（19/20）。采用盆底功能障碍指数简表20（PFDI-20）和盆底功能影响问卷简表7（PFIQ-7）评估患者的生活质量。研究组和对照组在手术前及术后6个月的评分无显著差异。仅术后1个月PFDI-20问卷的数据具有统计学意义，且对照组的数据大于研究组，表明机器人手术比腹腔镜手术恢复更快，生活质量可快速改善。
机器人辅助腹腔镜骶骨阴道固定术是一种安全可靠的技术，恢复速度比腹腔镜手术快，且具有短期效果。
