An updated systematic review and network meta-analysis comparing open, laparoscopic and robotic-assisted sacrocolpopexy for managing pelvic organ prolapse
Abstract
Abdominal sacrocolpopexy is considered as the gold standard treatment for pelvic organ prolapse. Sacrocolpopexy can be performed using open (OSC), laparoscopic (LSC), and robotic-assisted (RSC) approaches. The aim of this study is to compare the outcomes between these three approaches for managing pelvic organ prolapse by conducting a systematic review and network meta-analysis. A systematic search was performed in different databases from their earliest records to April 2021 with no restriction on languages. Only randomized controlled trials that compared the outcomes between OSC, LSC, and RSC were included in this study. A total of 6 studies with 486 participants were included in this study. Operative time was significantly shorter in OSC than in RSC and LSC. The probability rank showed less estimated blood loss in RSC and lowest overall postoperative complications in LSC. Probability scores also showed best anatomical outcomes for postoperative points C and Bp in RSC and for point Ba in LSC. Despite significantly longer operative time, RSC and LSC may provide better anatomical outcomes, less estimated blood loss, and less overall postoperative complications than OSC. However, this study did not find significant differences between RSC and LSC in efficacy and safety.
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Laparoscopic or robotics-assisted sacrocolpopexy is widely used for benefits of less blood loss and faster recovery while yielding similar anatomical and functional outcomes.
“Nowadays, with the development of minimally invasive techniques, laparoscopic sacrocolpopexy (LSC) or robotics-assisted sacrocolpopexy has been widely used for its benefits of less blood loss and faster recovery while yielding similar anatomical and functional outcomes [5, 6].”
From Mesh Exposure After Laparoscopic Sacrocolpopexy with Concomitant Total Hysterectomy or Uterine Preservation: A Retrospective Cohort Study (2026) · cites this paper as [5]
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- Authors
- Chang, C.-L., Chen, C.-H., Yang, S. S.-D., & Chang, S.-J.
- Affiliations
- Tzu Chi University (TW)
- Corresponding author
- Chang, Shang-Jen
- Venue
- Journal of Robotic Surgery
- Published
- 2021-11-15
- Volume
- 16
- Issue
- 5
- Pages
- 1037-1045
- ISSN
- 1863-2483 (ISSN-L)
- 1863-2491
- OpenAlex
- W3214117034
- Cited by
- 24
- References
- 26
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 6 · 2023: 4
- FWCI
- 0.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Robotic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Keywords
- sacrocolpopexy, pelvic organ prolapse, laparoscopic sacrocolpopexy, operative time, estimated blood loss, postoperative complications, anatomical outcomes, surgical technique comparison
- MeSH terms
- Network Meta-Analysis, Humans, Laparoscopy, Postoperative Complications, Randomized Controlled Trials as Topic, Treatment Outcome, Pelvic Organ Prolapse, Robotic Surgical Procedures
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