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Early experience with robotic rectopexy.

Nicolas C Buchs1, François Pugin, Frederic Ris

  • 1Clinic for Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Switzerland.

The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS
|June 19, 2013
PubMed
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Robotic rectopexy and promontofixation are safe and feasible for rectal prolapse treatment. Early outcomes are promising, though long-term functional results require further evaluation.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Pelvic Floor Disorders

Background:

  • Robotic surgery adoption is growing in colorectal procedures, but experience with pelvic floor disorders is limited.
  • This study presents the initial cases of fully robotic rectopexy and promontofixation for rectal prolapse.
  • Robotic surgery offers potential benefits for complex pelvic floor reconstructions.

Observation:

  • Five female patients with rectal prolapse underwent robotic rectopexy between October 2011 and June 2012.
  • The da Vinci Si robot system was utilized with a standard 4-port configuration.
  • Patients included those with primary rectal prolapse, associated vaginal prolapse, and recurrent rectal prolapse.

Findings:

  • The mean operative time was 170 minutes with no conversions and minimal blood loss.
Keywords:
laparoscopyrectopexyrobottechnique

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  • One patient experienced a retrorectal hematoma, managed successfully conservatively; no other complications occurred.
  • Mean hospital stay was 3.6 days, with no recurrence or readmission at 2 months post-surgery.

    • Implications:

    • Robotic rectopexy and promontofixation demonstrate feasibility and safety in initial cases.
    • Encouraging early outcomes suggest potential for robotic approaches in rectal prolapse management.
    • Further research is needed to assess long-term functional outcomes and establish the definitive role of robotics in treating rectal prolapse.