Laparoscopic Versus Robot-Assisted Sacrocolpopexy: A Systematic Review and Meta-Analysis - PubMed
3 hours ago
- #meta-analysis
- #pelvic organ prolapse
- #robotic surgery
- Comparison of robotic-assisted sacrocolpopexy (RASC) and laparoscopic sacrocolpopexy (LSC) for pelvic organ prolapse (POP).
- Systematic review and meta-analysis of 5 RCTs and 24 observational studies.
- No significant differences in operative time, anatomical outcomes, or patient-reported outcomes between RASC and LSC in RCTs.
- Similar complication rates for both procedures in RCTs.
- Observational studies show comparable perioperative outcomes, complications, mesh exposure, readmissions, and recurrence.
- RASC associated with lower conversion to laparotomy (OR 0.2, 95% CI 0.1-0.3).
- Conclusion: RASC and LSC provide equivalent anatomical and clinical outcomes with similar morbidity.
- RASC may be beneficial in complex or technically demanding cases.