Joubert M.,Service de chirurgie gynecologie |
Thubert T.,Service de gynecologie obstetrique et medecine de la reproduction |
Lefranc J.-P.,Service de chirurgie gynecologie |
Vaessen C.,University Paris - Sud |
And 3 more authors.
Progres en Urologie | Year: 2014
Objective: To compare the functional outcomes and complication rates following laparoscopic sacrocolpopexy (LS) with those occurring in robot-assisted laparoscopic sacrocolpopexy (RALSCP) in obese women. Patients and methods: A comparative retrospective multicentre study was made, involving 39 obese women (BMI≥30kg/m2) who underwent LS, and 17 obese women who underwent RASCLP. The operative parameters (length of operation, associated procedures, complication rate and length of hospitalization) and the objective and subjective results were evaluated at 12 months follow-up. Results: The median (IQR) BMI was 30.5kg/m2 (30-32) in the LS group vs 31.6kg/m2 (30-34) in the RALSCP group (P=0.402). The anatomical results were comparable in both groups (LS vs RALSCP): post-operative stage of prolapse (POP-Q-ICS): stage 0-1: 34/39 (88%) vs 16/17 (94.1%), P=0.7; stage 2: 4/39 (10%) vs 0/17 (0%), P=0.7; stage 3-4: 1/39 (2%) vs 1/17 (5.9%), P=0.7. The complication rate was similar in both groups (LS vs RALSCP): bladder injury 2.5%(1/39) vs 0%(0/17), P=0.6, laparoconversion 5.1%(2/39) vs 5.9%(1/17), P=0.5. The overall reoperation rate was (LS vs RALSCP): 18%(7/39) vs 5.9%(1/17), P=0.4. Conclusion: Laparoscopic sacrocolpopexy and robot-assisted laparoscopic sacrocolpopexy have equal results in obese women. The complication rates and outcomes appear to be similar in both groups of obese women.Level of evidence: 3. © 2014 Elsevier Masson SAS.