Long-term outcomes after robotic sacrocolpopexy in XXXX : prospective analysis.

@entity1 @entity190 @entity7502 @entity1163 @entity281 @entity583 @entity3577
OBJECTIVE: To evaluate the feasibility and long-term outcomes of our initial series of robot-assisted laparoscopic sacrocolpopexy. METHODS: We conducted a prospective analysis of our series of robotic sacrocolpopexy. INCLUSION CRITERIA: @entity1 with grades III and IV cystocele and or other symptomatic @entity3577 . We performed a transperitoneal four-trocar technique with the Da Vinci robotic system using two @entity7502 meshes for fixation to the sacral promontory. The primary outcome was recurrence; secondary outcomes included operating room time, @entity190 , conversion to open surgery, complications and length of stay. RESULTS: 31 consecutive procedures were included. Mean @entity1 age was 65.2 (50-81) years. Mean operating room time was 186 (150-230) min. We converted 1 case to laparoscopy (3.2%). There were two major complications (1 acute @entity583 and 1 reoperation for excess tension with @entity1163 ), two minor complications (1 wound @entity281 and 1 ileus) and no recurrences at a mean follow-up of 24.5 (16-33) months. CONCLUSIONS: Robotic sacrocolpopexy could possibly improve with experience after overcoming the learning curve. There is no doubt it is a reproducible technique, but its safety and efficacy still need to be proven. Our initial series demonstrated good outcomes and no recurrences at 24.5 months of follow-up.
