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A Teleoperated Robotic System-Assisted Percutaneous Transiliac-Transsacral Screw Fixation Technique
Published on: January 6, 2023
Robotic-assisted sacrocolpopexy: technique and learning curve
Mohamed N Akl1, Jaime B Long, Dobie L Giles
1Department of Gynecologic Surgery, Mayo Clinic Arizona, 5777 E. Mayo Blvd, Phoenix, AZ 85054, USA. Akl.Mohamed@mayo.edu
Surgical Endoscopy
|January 28, 2009
Summary
Robotic-assisted sacrocolpopexy (RASCP) is a feasible surgical approach for vaginal vault prolapse. This study found RASCP to have acceptable complication rates and a short learning curve for surgeons.
Area of Science:
- Urology
- Gynecology
- Minimally Invasive Surgery
Background:
- Laparoscopic sacrocolpopexy (LSCP) is a minimally invasive treatment for vaginal vault prolapse.
- The Da Vinci robotic system may simplify LSCP.
- Robotic assistance in sacrocolpopexy warrants investigation.
Purpose of the Study:
- To describe the surgical technique of robotic-assisted sacrocolpopexy (RASCP).
- To evaluate the feasibility, safety, and learning curve of RASCP.
- To assess perioperative complications associated with RASCP.
Main Methods:
- Eighty patients underwent RASCP between November 2004 and June 2007.
- Robotic dissection and Y-shaped mesh placement were performed.
- Intracorporeal knot tying and mesh coverage were utilized.
Main Results:
- Mean operative time decreased by 25.4% after the initial ten cases.
- Perioperative complications included bladder, small bowel, and ureteric injuries (2.5%, 1.2%, 1.2%).
- Postoperative complications included mesh erosion (6%) and pelvic abscess (1.2%).
Conclusions:
- Robotic-assisted sacrocolpopexy (RASCP) is a feasible surgical procedure.
- RASCP demonstrates acceptable complication rates.
- The learning curve for RASCP is short.
