title: [Results obtained after robotic-assisted laparoscopic sacral colpopexy for the management of urogenital prolapse: a review].
abstract: BACKGROUND
  Laparoscopic sacral colpopexy (LSCP) is one of the gold standard surgical treatment for the management of urogenital prolapse. Robot-assisted laparoscopic sacrocolpopexy (RALSCP) is an alternative surgical access which has been recently proposed. The aim of the current study was to report the functional results obtained after RALSCP.
  
  
  METHODS
  [corrected] A systematic review of the scientific literature was achieved in the Pubmed database, using the following keywords: robotic; robot; sacrocolpopexy; sacralcolpopexy. Clinical cases and series of less than five cases were spontaneously not selected herein.
  
  
  RESULTS
  Overall, 12 series in published between September 2004 and September 2011 which included 350 female patients were selected. The mean age was 63 years old with a pelvic organ prolapse of stage 3 to 4 in the Baden Walker classification. The mean operative time of the RALSCP was 207 minutes with a conversion rate of 3,4% and an intraoperative complication rate of 4,6%. The mean length of hospital stay was 3 days and the perioperative complication rate of 7,1%. The success rate of the RALSCP was 97% and the vaginal erosion rate was 2,5% with a median follow-up of 13,5 months.
  
  
  CONCLUSIONS
  The mid-term functional results obtained after RALSCP were equivalent to those obtained with the LSCP approach. However, there is no prospective randomized comparison available between the two access so far. In addition, the experience with RALSCP remains limited due to the important cost that the robotic access generates.
authors.affiliation: Service d'urologie de l'hôpital Pitié-Salpêtrière, AP-HP, faculté de médecine Pierre-et-Marie-Curie, université Paris VI, 83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: T
authors.initials: T
authors.lastname: Seisen
authors.forename: C
authors.initials: C
authors.lastname: Vaessen
authors.forename: D R
authors.initials: DR
authors.lastname: Yates
authors.forename: J
authors.initials: J
authors.lastname: Parra
authors.forename: V
authors.initials: V
authors.lastname: Bourgade
authors.forename: M-O
authors.initials: MO
authors.lastname: Bitker
authors.forename: E
authors.initials: E
authors.lastname: Chartier-Kastler
authors.forename: M
authors.initials: M
authors.lastname: Rouprêt
mesh_terms: D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D012371:Robotics; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods