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Perioperative outcomes of robotic versus laparoscopic sacrocolpopexy
Esra ÖZBAŞLI1, Mete GÜNGÖR11Department of Obstetrics and Gynecology, Acıbadem Mehmet Ali Aydınlar University Faculty of Medicine, İstanbul, Türkiye
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 Fisher’s 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 surgeon’s experience and the clinic’s resources.
Cite This Article
ÖZBAŞLI E, GÜNGÖR M. Perioperative outcomes of robotic versus laparoscopic sacrocolpopexy. 2022; 41(3): 178-184
Corresponding Author: ÖZBAŞLI E.
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