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Updated: Nov 13, 2025
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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
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Robotic versus laparoscopic ventral mesh rectopexy: a systematic review and meta-analysis
Julie Flynn1,2,3, Jose T Larach4,5,6, Joseph C H Kong5,7,8
1Department of Surgery, Epworth Healthcare, Bridge Rd, Richmond, 3121, Australia. Jafly1@gmail.com.
International Journal of Colorectal Disease
|March 15, 2021
Summary
Robotic ventral mesh rectopexy showed a shorter hospital stay compared to laparoscopic approaches. While operating times were not significantly different, further cost-benefit analysis is needed to justify robotic surgery for rectal prolapse.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Gastrointestinal Surgery
Background:
- Ventral mesh rectopexy is a common procedure for rectal prolapse.
- Minimally invasive techniques are preferred but challenging in pelvic surgery.
- Robotic platforms may overcome these challenges, but comparative evidence is limited.
Purpose of the Study:
- To compare outcomes between robotic and laparoscopic ventral mesh rectopexy.
- To analyze existing data through meta-analysis.
Main Methods:
- Systematic literature search of MEDLINE, EMBASE, and Cochrane databases.
- Meta-analysis of comparable data from six studies.
- Inclusion of data on operating time, complications, conversions, and length of stay.
Main Results:
- Pooled analysis of six studies (two randomized) with small sample sizes.
- No significant difference in complication or conversion rates.
- Statistically significant reduction in length of hospital stay with robotic procedures; non-significant trend towards longer operating times.
Conclusions:
- Robotic ventral mesh rectopexy is associated with a shorter hospital stay.
- Operating times and complication rates were comparable to laparoscopic approaches.
- Further cost-benefit analyses are required to determine the justification for robotic surgery.
