Outcomes of single port robotic sacrocolpopexy compared with multi-port approaches
Intelligent Surgery, ISSN: 2666-6766, Vol: 6, Page: 21-24
2023
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Most Recent News
Studies from Mayo Clinic Alix School of Medicine Further Understanding of Robotics (Outcomes of single port robotic sacrocolpopexy compared with multi-port approaches)
2023 APR 21 (NewsRx) -- By a News Reporter-Staff News Editor at NewsRx Medical Devices Daily -- Fresh data on robotics are presented in a
Article Description
Scientific literature currently lacks data on surgical outcomes of single-port robotic sacrocolpopexy compared with traditional multi-port approaches. To evaluate feasibility and surgical outcomes for the single-port robotic approach to sacrocolpopexy when compared with traditional multi-port approaches. Retrospective chart review of fifty patients who underwent minimally invasive sacrocolpopexy with a single urogynecologist between 2018 and 2021 at an academic tertiary care hospital. Patients were divided into three cohorts: laparoscopic multi-port (LMP), robotic multi-port (RMP), and robotic single-port (RSP). Outcome measures were operative time, number of adverse events, and severity of adverse events by Clavien-Dindo. All patients underwent at least one concomitant procedure; however, LMP had more concomitant procedures compared to RMP and RSP (p < 0.001). RMP had higher incidence of prior hysterectomy (p < 0.001) and prior vaginal surgery (p = 0.002) compared to LMP and RSP. There were no significant differences in age, BMI, ethnicity/race, pre-operative POPQ stage, number of prior laparoscopies/laparotomies, or prior hernia repair. Linear and Poisson regression models were used to assess between-group differences in the outcome measures while adjusting for confounders. LMP had significantly higher adverse event severity than RSP (RR = 2.23, p = 0.044). 62.5% of the RSP group had no adverse events. No other statistically significant differences were observed. This retrospective study demonstrates feasibility and safety of the single-port robotic approach for sacrocolpopexy when compared with traditional multi-port approaches. Larger, prospective studies are indicated to better understand post-operative outcomes.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S2666676622001326; http://dx.doi.org/10.1016/j.isurg.2022.12.001; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85151396322&origin=inward; https://linkinghub.elsevier.com/retrieve/pii/S2666676622001326; https://dx.doi.org/10.1016/j.isurg.2022.12.001
Elsevier BV
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