Gloger Simon, Kempermann Julia, Ubrig Burkhard
Abteilung für Urologie, Augusta Kliniken Bochum, Witten/Herdecke Universität, Bochum, Deutschland.
Augusta Kliniken Bochum, Bergstraße 26, 44791, Bochum, Deutschland.
Urologie. 2025 May 7. doi: 10.1007/s00120-025-02585-7.
Sacrocolpopexy is a well-established surgical procedure for treatment of female genital prolapse and complex pelvic floor disorders. The introduction of robotic-assisted minimally invasive surgery has further optimised the precision, invasiveness and efficiency of the procedure.
This review analyses the indications, surgical techniques, outcomes and management of complications of robotic sacrocolpopexy.
Robot-assisted sacrocolpopexy shows comparable anatomical and functional results to laparoscopic and open surgical approaches. Compared to laparotomy, minimally invasive techniques reduce perioperative morbidity and accelerate postoperative recovery.
Despite promising results, the treatment decision for robot-assisted sacrocolpopexy must be individually tailored to the severity of the prolapse, location of the prolapse, symptoms and availability of alternative treatment options under consideration of economic aspects.
骶骨阴道固定术是治疗女性生殖器脱垂和复杂盆底疾病的一种成熟的外科手术。机器人辅助微创手术的引入进一步优化了该手术的精确性、侵入性和效率。
本综述分析机器人骶骨阴道固定术的适应症、手术技术、疗效及并发症处理。
机器人辅助骶骨阴道固定术在解剖和功能结果方面与腹腔镜和开放手术方法相当。与剖腹手术相比,微创技术可降低围手术期发病率并加速术后恢复。
尽管取得了令人满意的结果,但在考虑经济因素的情况下,机器人辅助骶骨阴道固定术的治疗决策必须根据脱垂的严重程度、脱垂部位、症状以及替代治疗方案的可用性进行个体化定制。