Robotic-Assisted versus Conventional Laparoscopic Sacrocolpopexy for Pelvic Organ Prolapse: A Systematic Review

Abstract

Introduction: Sacrocolpopexy is the gold standard surgical procedure for apical pelvic organ prolapse. This review compares the outcomes of the robotic-assisted laparoscopic approach versus the conventional laparoscopic approach.

Methods: A systematic search was performed for comparative studies and RCTs of robotic versus conventional laparoscopic sacrocolpopexy. Primary outcomes were operative time, complications, and anatomical and functional outcomes.

Results: The meta-analysis showed that the robotic approach was associated with a significantly longer operative time and higher costs. There were no significant differences in intra- or postoperative complication rates, blood loss, or length of hospital stay. Anatomical success rates and functional outcomes were comparable between the two groups.

Discussion: The robotic platform may offer ergonomic benefits to the surgeon, but these do not appear to translate into superior clinical outcomes for the patient compared to conventional laparoscopy. The higher cost of the robotic approach is a significant consideration.

Conclusion: Robotic-assisted sacrocolpopexy offers no clear clinical advantage over the conventional laparoscopic approach for the treatment of pelvic organ prolapse.