title: Comparison of functional outcomes with purely laparoscopic sacrocolpopexy and robot-assisted sacrocolpopexy in obese women.
abstract: 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.
  
  
  METHODS
  A comparative retrospective multicentre study was made, involving 39 obese women (BMI≥30 kg/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 30.5 kg/m2 (30-32) in the LS group vs 31.6 kg/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.
  
  
  CONCLUSIONS
  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.
  
  
  METHODS
  3.
authors.affiliation: Service de chirurgie gynécologie, hôpital La Pitié-Salpêtrière, AP-HP, 83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Joubert
authors.affiliation: Service de gynécologie obstétrique et médecine de la reproduction, hôpital Antoine-Béclère, AP-HP, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France; Service de chirurgie gynécologie, hôpital La Pitié-Salpêtrière, AP-HP, 83, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: thibault.thubert@gmail.com.
authors.forename: T
authors.initials: T
authors.lastname: Thubert
authors.affiliation: Service de chirurgie gynécologie, hôpital La Pitié-Salpêtrière, AP-HP, 83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Lefranc
authors.affiliation: Academic department of urology, université Paris 6, Pitié-Salpêtrière hospital, Assistance publique-Hôpitaux de Paris, 83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Vaessen
authors.affiliation: Academic department of urology, université Paris 6, Pitié-Salpêtrière hospital, Assistance publique-Hôpitaux de Paris, 83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: É
authors.initials: É
authors.lastname: Chartier-Kastler
authors.affiliation: Service de gynécologie obstétrique et médecine de la reproduction, hôpital Antoine-Béclère, AP-HP, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France.
authors.forename: X
authors.initials: X
authors.lastname: Deffieux
authors.affiliation: Academic department of urology, université Paris 6, Pitié-Salpêtrière hospital, Assistance publique-Hôpitaux de Paris, 83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Rouprêt
mesh_terms: D000368:Aged; D061887:Conversion to Open Surgery / Q000706:statistics & numerical data; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures
keywords: Chirurgie robot-assistée; Cœlioscopie; Genital prolapse; Laparoscopy; Obesity; Obésité; Prolapsus génital; Promontofixation; Robot-assisted surgery; Sacrocolpopexy