Oh Sumin, Shin Jung-Ho
Department of Obstetrics and Gynecology, Korea University Guro Hospital, Seoul, Korea.
Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
Obstet Gynecol Sci. 2023 Nov;66(6):509-517. doi: 10.5468/ogs.23073. Epub 2023 Jul 18.
This review aimed to summarize the complications and surgical outcomes of robot-assisted sacrocolpopexy. Nineteen original articles on 1,440 robotic sacrocolpopexies were reviewed, and three systematic reviews and meta-analyses were summarized in terms of intraoperative, perioperative, postoperative, and/or surgical outcomes. Robotic sacrocolpopexy has demonstrated low overall complication rates and favorable surgical outcomes. Nevertheless, long-term follow-up outcomes regarding objective and/or subjective prolapse recurrence, reoperation rates, and mesh-related complications remain unclear. Further research is required to demonstrate whether the robotic approach for sacrocolpopexy is feasible or can become the modality of choice in the future when performing sacrocolpopexy.
本综述旨在总结机器人辅助骶骨阴道固定术的并发症及手术效果。我们回顾了19篇关于1440例机器人辅助骶骨阴道固定术的原始文章,并从术中、围手术期、术后和/或手术效果方面总结了3篇系统评价和荟萃分析。机器人辅助骶骨阴道固定术已显示出总体并发症发生率较低且手术效果良好。然而,关于客观和/或主观脱垂复发、再次手术率及网片相关并发症的长期随访结果仍不明确。需要进一步的研究来证明机器人辅助骶骨阴道固定术在未来进行骶骨阴道固定术时是否可行或能否成为首选术式。