Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
Int Urogynecol J. 2024 Sep;35(9):1757-1762. doi: 10.1007/s00192-024-05865-6. Epub 2024 Jul 29.
Sacrocolpopexy is the gold standard for the surgical management of apical prolapse. Over the years, surgical advancements have transformed the procedure from a laparotomy with a hospital stay of several days to a minimally invasive approach with a much shorter hospital stay. One recent innovation has the potential to transform minimally invasive sacrocolpopexy.
The da Vinci single-port robotic platform has allowed urological procedures to generate improved recovery, pain control, and cosmesis, with no differences in complications rates.
Although the data with respect to sacrocolpopexy are more limited owing to the novelty of this application, the results appear to be similar to those of urological procedures such as prostatectomy.
We present our surgical technique for completing single-port robotic sacrocolpopexy, with and without a hysterectomy, as well as a review of the relevant literature.
骶骨阴道固定术是治疗穹窿脱垂的金标准。多年来,手术技术的进步已经将该手术从需要住院数天的剖腹手术转变为微创方法,住院时间大大缩短。最近的一项创新有可能彻底改变微创骶骨阴道固定术。
达芬奇单端口机器人平台使泌尿科手术的恢复、疼痛控制和美容效果得到改善,而并发症发生率没有差异。
尽管由于该应用的新颖性,关于骶骨阴道固定术的数据更为有限,但结果似乎与前列腺切除术等泌尿科手术相似。
我们介绍了完成单端口机器人骶骨阴道固定术(包括和不包括子宫切除术)的手术技术,并回顾了相关文献。