Objective: To compare the perioperative outcomes of robotic-assisted sacrocolpopexy (RSCP) versus conventional laparoscopic sacrocolpopexy (LSCP). Materials and Methods: A retrospective cohort of 68 patients underwent conventional LSCP or RSCP at Acıbadem Maslak University Hospital between May 2010 and June 2019. Data on demographic and surgical characteristics and peri- and postoperative outcomes were examined. The primary outcomes were operative time and postoperative complication rate. The secondary outcomes were postoperative pain score, pre- and postoperative hemoglobin values, body mass index, readmission rate, length of hospital stay, and incidence of intraoperative complication. The Kolmogorov-Smirnov goodness-of-fit test, t-test, Mann-Whitney U test, chi-square test, and Fishers Exact test were used, and Spearman correlation analysis was performed. Results: In total, 68 patients were evaluated (LSCP, n=52; RSCP, n=16). The RSCP group (204.88±54.97 min) had a longer operative time than the LSCP group (142.1±35.32 min) (p<0.001). The rates of early postoperative complications (such as desaturation, oliguria, and nausea) were 31.3% in the RSCP group and 5.8% in the LSCP group (p=0.015). The postoperative pain scores did not significantly differ between the LSCP group (3.9±1.64) and the RSCP group (3.38±1.54) (p=0.256). Further, there was no significant difference between the two groups in terms of pre- and postoperative hemoglobin values, demographic characteristics, readmission rate, incidence of intra- and postoperative complications (such as mesh erosion, voiding difficulty, fistula, and recurrence), and length of hospital stay. Conclusion: LSCP may be superior to RSCP. However, the surgical route should be individualized based on the surgeons experience and the clinics resources.
Corresponding Author: ÖZBAŞLI E.|