Single port robotic assisted sacrocolpopexy: Our experience with the first 25 cases

Emad Matanes, Roy Lauterbach, Susana Mustafa-Mikhail, Amnon Amit, Zeev Wiener, Lior Lowenstein

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

Objectives: In single-port surgery, the surgeon operates almost exclusively through a single entry point, typically the patient's navel, leaving only a single small scar. The aims of this study were to share some tips and tricks of singleport robotic-assisted sacrocolpopexy and to evaluate the learning curve of mastering the skills to operate this procedure. Methods: This is a retrospective study of the first 25 single-port; roboticassisted sacrocolpopexy surgeries performed during July to December 2015 at Rambam Health Care Campus by a single surgeon. Primary points of interest included intraoperative bleeding, length of surgery, length of hospitalization, and surgical complications. Results: The median age was 59 years (range, 35-74); the median "pelvic organ prolapse quantification" stage was 3 (range, 2-4). The median total operative time was 190 minutes (range, 114-308), and console time was 130 minutes (85-261). Comparisons between the first 15 cases and the following 10 cases demonstrated significant decreases in median total operative and console times: 226 minutes (range, 142-308) versus 156 minutes (range, 114-180), and 170 minutes (range, 85-261) versus 115 minutes (range, 90-270), respectively (P < 0.008). There were no intraoperative adverse events. Postoperative adverse events were also rare, including 1 case of small bowel adhesions that required a second laparoscopic surgery for adhesiolysis. After this incident, we peritonalized the mesh in all 13 successive cases; median time was 8 minutes (range, 5-15 minutes). Conclusions: Single-port robotic-assisted sacrocolpopexy is a feasible procedure with low complication rates, minimal blood loss and postsurgical pain, fast recovery, short hospitalization, and virtually scar-free results. Outcomes of long-term follow-up should be investigated.

Original languageEnglish
Pages (from-to)e14-e18
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume23
Issue number3
DOIs
StatePublished - 2017
Externally publishedYes

Bibliographical note

Publisher Copyright:
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.

Keywords

  • Laparoscopy
  • Minimal invasive
  • Robotic surgery
  • Sacrocolpopexy
  • Single port

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