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Conventional Laparoscopy vs. Robotic-Assisted Laparoscopy for Sacrocolpopexy and Sacrocervicopexy: a Review

  • Urogynecology (S Pulliam and N Kohli, Section Editors)
  • Published:
Current Obstetrics and Gynecology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

An abdominal approach to apical pelvic organ prolapse surgery yields superior outcomes in terms of decreased recurrence rates. Furthermore, there is evidence to support that a minimally invasive approach yields better patient outcomes over an abdominal approach. However, there remains debate in the field over which minimally invasive approach is better. In this review, we compare conventional straight stick laparoscopy and robotic-assisted laparoscopy techniques for sacrocolpopexy and sacrocervicopexy (LSC and RASC).

Recent Findings

We reviewed data from recent retrospective and prospective studies that directly compare LSC and RASC. In particular, we considered complications, operative time, patient outcomes, and cost.

Summary

Both LSC and RASC have benefits over the traditional open abdominal approach. Complication rates are low and resolution of prolapse is high in both LSC and RASC. Operative time and costs are generally higher in RASC. The existing studies comparing LSC and RASC have relatively small sample sizes. It will be important for further robust prospective studies to directly compare these two common minimally invasive approaches to pelvic organ prolapse.

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Authors and Affiliations

  1. Center for Minimally Invasive Gynecologic Surgery, Newton-Wellesley Hospital, 2014 Washington Street, Newton, MA, 02462, USA

    Marron Wong & Stephanie Morris

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  1. Marron Wong
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Correspondence to Marron Wong.

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Marron Wong and Stephanie Morris declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Urogynecology

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Wong, M., Morris, S. Conventional Laparoscopy vs. Robotic-Assisted Laparoscopy for Sacrocolpopexy and Sacrocervicopexy: a Review. Curr Obstet Gynecol Rep 6, 243–248 (2017). https://doi.org/10.1007/s13669-017-0220-4

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  • DOI: https://doi.org/10.1007/s13669-017-0220-4

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