title: Short-term outcomes of robotic versus conventional laparoscopic sacral colpopexy.
abstract: OBJECTIVE
  This study aimed to compare operative times and short-term outcomes between robotic and laparoscopic sacral colpopexy.
  
  
  METHODS
  A retrospective cohort study using a convenience sample was performed comparing patients who underwent robotic and laparoscopic sacral colpopexy during a 4-year period. Operative time, blood loss, perioperative complications, and objective cure of prolapse at 3 months were compared.
  
  
  RESULTS
  Robotic procedures in 65 women and laparoscopic sacral colpopexy procedures in 23 women were performed. Median preoperative prolapse was stage 3 for both groups. There was no statistically significant difference in the median operative time between the robotic and laparoscopic groups, although this did not include robot setup time and did include concurrent procedures that differed significantly between groups (334 vs 325 minutes, P = 0.30). Estimated blood loss was lower in the robotic group (50 vs 100 mL, P = 0.003). Median hospital stay was 1 day in both groups (P = 0.23). There were no differences in overall objective cure rates between robotic and laparoscopic groups at 3 months of follow-up (87.1% vs 91.3%, P = 0.72). Perioperative complications, including visceral injury and mesh erosion, did not differ significantly between these groups.
  
  
  CONCLUSIONS
  Robotic and laparoscopic sacral colpopexy had similar operative times, short-term anatomic cure rates, perioperative complications, and length of hospital stay.
authors.affiliation: Department of Obstetrics and Gynecology, Section of Female Pelvic Medicine and Reconstructive Surgery, Washington Hospital Center, 110 Irving St NW, Room 5B 63, Washington, DC 20010, USA. Danielle.M.Antosh@medstar.net
authors.forename: Danielle D
authors.initials: DD
authors.lastname: Antosh
authors.forename: Stephanie A
authors.initials: SA
authors.lastname: Grotzke
authors.forename: Marcela A
authors.initials: MA
authors.lastname: McDonald
authors.forename: David
authors.initials: D
authors.lastname: Shveiky
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Park
authors.forename: Robert E
authors.initials: RE
authors.lastname: Gutman
authors.forename: Andrew I
authors.initials: AI
authors.lastname: Sokol
mesh_terms: D016063:Blood Loss, Surgical; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D012371:Robotics; D013997:Time Factors