Kim Ju Hee, Lee Sa Ra, Lee Eun Sil, Kim Sung Hoon, Chae Hee Dong
Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
Department of Obstetrics and Gynecology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
J Menopausal Med. 2020 Dec;26(3):154-158. doi: 10.6118/jmm.20014.
For patients with apical compartment pelvic organ prolapse (POP), abdominal sacrocolpopexy has been considered superior to the vaginal approach in terms of less dyspareunia and decreased risk of recurrence. Robot-assisted sacrocolpopexy (RSC) can help overcome difficulties in laparoscopic sacrocolpopexy (LSC) by facilitating deep dissection and suturing. Moreover, RSC is a safe and efficacious option for patients with POP. It has several benefits, such as its high anatomical cure rate, improvement of sexual function, reduction of perioperative complications, and low recurrence rate. In addition, it can be a safe option for elderly patients. RSC has a steep learning curve and numerous other reported advantages compared with LSC; however, insufficient data conclude that the former is universally superior, especially in cost effectiveness. Thus, further studies are needed to support the widespread adoption of robot-assisted surgery for pelvic floor reconstruction.
对于顶端盆腔器官脱垂（POP）患者，在减轻性交困难和降低复发风险方面，经腹骶骨阴道固定术被认为优于经阴道手术方式。机器人辅助骶骨阴道固定术（RSC）可通过便于深部解剖和缝合来帮助克服腹腔镜骶骨阴道固定术（LSC）中的困难。此外，RSC对于POP患者是一种安全有效的选择。它有诸多益处，如解剖学治愈率高、性功能改善、围手术期并发症减少以及复发率低。此外，对于老年患者它也是一种安全的选择。与LSC相比，RSC有陡峭的学习曲线以及众多其他已报道的优势；然而，数据不足无法得出前者普遍更优的结论，尤其是在成本效益方面。因此，需要进一步研究来支持机器人辅助手术在盆底重建中的广泛应用。
