Single-Incision vs. Multiport Robotic Sacrocolpopexy: 126 Consecutive Cases at a Single Institution
Robot-assisted laparoscopic sacrocolpopexy (RSC) has gained popularity as a method for easier intracorporeal suturing than conventional laparoscopic sacrocolpopexy. However, few studies have compared multiport RSC (MP-RSC) and single-incision RSC (SI-RSC). We aimed to compare perioperative outcomes...
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Veröffentlicht in: | Journal of clinical medicine 2021-09, Vol.10 (19), p.4457 |
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description | Robot-assisted laparoscopic sacrocolpopexy (RSC) has gained popularity as a method for easier intracorporeal suturing than conventional laparoscopic sacrocolpopexy. However, few studies have compared multiport RSC (MP-RSC) and single-incision RSC (SI-RSC). We aimed to compare perioperative outcomes between these techniques for advanced pelvic organ prolapse (POP). We analyzed 126 patients who underwent RSC for POP quantification (all stage III to IV) between March 2019 and May 2021 at Seoul Asan Medical Center. We prospectively collected operation-related data, including total operation time (OT; from skin incision to closure) and perioperative outcomes. A total of 106 and 20 patients underwent MP-RSC and SI-RSC, respectively. The mean ages were 57.49 ± 10.89 and 56.20 ± 10.30 years in the MP-RSC and SI-RSC groups, respectively. The mean total OT was significantly shorter for MP-RSC than for SI-RSC (105.43 ± 24.03 vs. 121.10 ± 26.28 min). The OT difference was 15.67 min (95% confidence interval, 3.90–25.85, p = 0.009). No statistically significant differences were observed in terms of perioperative variables (estimated blood loss, hospital stay) and postoperative adverse events (POP recurrence, mesh erosion). SI-RSC had comparable intraoperative and postoperative outcomes to MP-RSC, with additional cosmetic benefits. MP-RSC had significantly shorter OT than SI-RSC. |
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However, few studies have compared multiport RSC (MP-RSC) and single-incision RSC (SI-RSC). We aimed to compare perioperative outcomes between these techniques for advanced pelvic organ prolapse (POP). We analyzed 126 patients who underwent RSC for POP quantification (all stage III to IV) between March 2019 and May 2021 at Seoul Asan Medical Center. We prospectively collected operation-related data, including total operation time (OT; from skin incision to closure) and perioperative outcomes. A total of 106 and 20 patients underwent MP-RSC and SI-RSC, respectively. The mean ages were 57.49 ± 10.89 and 56.20 ± 10.30 years in the MP-RSC and SI-RSC groups, respectively. The mean total OT was significantly shorter for MP-RSC than for SI-RSC (105.43 ± 24.03 vs. 121.10 ± 26.28 min). The OT difference was 15.67 min (95% confidence interval, 3.90–25.85, p = 0.009). No statistically significant differences were observed in terms of perioperative variables (estimated blood loss, hospital stay) and postoperative adverse events (POP recurrence, mesh erosion). SI-RSC had comparable intraoperative and postoperative outcomes to MP-RSC, with additional cosmetic benefits. MP-RSC had significantly shorter OT than SI-RSC.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm10194457</identifier><identifier>PMID: 34640475</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Abdomen ; Clinical medicine ; Hospitals ; Hysterectomy ; Laparoscopy ; Length of stay ; Patients ; Robotics ; Skin ; Statistical analysis ; Surgery ; Surgical mesh ; Surgical outcomes ; Sutures ; Vagina</subject><ispartof>Journal of clinical medicine, 2021-09, Vol.10 (19), p.4457</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-c84a6782ce7b357bcf3419bfcd5e305e23a7a92cc777a3823bf1892f14dd88e33</citedby><cites>FETCH-LOGICAL-c386t-c84a6782ce7b357bcf3419bfcd5e305e23a7a92cc777a3823bf1892f14dd88e33</cites><orcidid>0000-0002-7890-8348 ; 0000-0002-8103-7758 ; 0000-0001-5713-7743</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8509716/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8509716/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Nam, Gina</creatorcontrib><creatorcontrib>Lee, Sa-Ra</creatorcontrib><creatorcontrib>Roh, A-mi</creatorcontrib><creatorcontrib>Kim, Ju-Hee</creatorcontrib><creatorcontrib>Choi, Sungwook</creatorcontrib><creatorcontrib>Kim, Sung-Hoon</creatorcontrib><creatorcontrib>Chae, Hee-Dong</creatorcontrib><title>Single-Incision vs. Multiport Robotic Sacrocolpopexy: 126 Consecutive Cases at a Single Institution</title><title>Journal of clinical medicine</title><description>Robot-assisted laparoscopic sacrocolpopexy (RSC) has gained popularity as a method for easier intracorporeal suturing than conventional laparoscopic sacrocolpopexy. 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No statistically significant differences were observed in terms of perioperative variables (estimated blood loss, hospital stay) and postoperative adverse events (POP recurrence, mesh erosion). SI-RSC had comparable intraoperative and postoperative outcomes to MP-RSC, with additional cosmetic benefits. MP-RSC had significantly shorter OT than SI-RSC.</description><subject>Abdomen</subject><subject>Clinical medicine</subject><subject>Hospitals</subject><subject>Hysterectomy</subject><subject>Laparoscopy</subject><subject>Length of stay</subject><subject>Patients</subject><subject>Robotics</subject><subject>Skin</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Surgical mesh</subject><subject>Surgical outcomes</subject><subject>Sutures</subject><subject>Vagina</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkV1LwzAUhoMobsxd-QcC3gjSma82qReCFD8GE8HpdUizdGZ0SW3S4f69HROZnptz4H14Oee8AJxjNKE0R9crvcYI54yl_AgMCeI8QVTQ44N5AMYhrFBfQjCC-SkYUJYxxHg6BHpu3bI2ydRpG6x3cBMm8Lmro218G-GrL320Gs6Vbr32deMb87W9gZhksPAuGN1FuzGwUMEEqCJUcG8Ipy5EG3vVuzNwUqk6mPFPH4H3h_u34imZvTxOi7tZoqnIYqIFUxkXRBte0pSXuqIM52WlF6mhKDWEKq5yojXnXFFBaFlhkZMKs8VCCEPpCNzufZuuXJuFNi62qpZNa9eq3UqvrPyrOPshl34jRYpyjrPe4PLHoPWfnQlRrm3Qpq6VM74LkqQCC8RRukMv_qEr37WuP29HoTzHmOw2utpT_fdCaE31uwxGcpefPMiPfgNgfYyX</recordid><startdate>20210928</startdate><enddate>20210928</enddate><creator>Nam, Gina</creator><creator>Lee, Sa-Ra</creator><creator>Roh, A-mi</creator><creator>Kim, Ju-Hee</creator><creator>Choi, Sungwook</creator><creator>Kim, Sung-Hoon</creator><creator>Chae, Hee-Dong</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7890-8348</orcidid><orcidid>https://orcid.org/0000-0002-8103-7758</orcidid><orcidid>https://orcid.org/0000-0001-5713-7743</orcidid></search><sort><creationdate>20210928</creationdate><title>Single-Incision vs. Multiport Robotic Sacrocolpopexy: 126 Consecutive Cases at a Single Institution</title><author>Nam, Gina ; 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subjects | Abdomen Clinical medicine Hospitals Hysterectomy Laparoscopy Length of stay Patients Robotics Skin Statistical analysis Surgery Surgical mesh Surgical outcomes Sutures Vagina |
title | Single-Incision vs. Multiport Robotic Sacrocolpopexy: 126 Consecutive Cases at a Single Institution |
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