Introduction: This series of cases was an investigation of the safety and feasibility of robotic laparoendoscopic sin-gle-site surgery (R-LESS) as a method of performing sa-crocolpopexy. Case Presentation: This is a retrospective series of 15 cases of R-LESS sacrocolpopexy with the V-Loc (Medtronic, Minneapolis, Minnesota, USA) suture and a retroperitoneal tunneling technique performed by a single surgeon, combined with a literature review. Patient demo-graphic information and perioperative data were ana-lyzed. The standard robotic sacrocolpopexy steps were followed, but the surgeon used a combined technique of V-Loc suture and retroperitoneal tunneling to simplify the procedure. No additional ports were necessary in any of the patients. Management and Outcome: Using the pelvic organ pro-lapse quantification (POP–Q) scoring method, the mean preoperative C-point of the 15 patients was +1.16 compared to the mean immediate postoperative C-point, which was-5.5. The mean total sacrocolpopexy time was 74.7 (range, 50–99) minutes and mean mesh anchoring time was 22.60 ± 3.85 minutes. The mean sacral promontory fixation and tunneling and mesh position times were 11.87 ± 3.02 and 5.80 ± 2.14 minutes, respectively. All 15 cases were performed without perioperative or long-term complications. Discussion: R-LESS in combination with the V-Loc suture and the retroperitoneal tunneling technique can be safely and feasibly performed, especially in sacrocol-popexy and, potentially, in other POP surgeries. With adequate and systematic training, surgeons can acquire the necessary skills to perform this complex surgical procedure.
|Journal||Journal of the Society of Laparoendoscopic Surgeons|
|State||Published - Jul 1 2018|
- Pelvic organ prolapse
- Retroperitoneal tunneling technique
- Robotic laparoendoscopic single-site (R-LESS)
- V-Loc suture