Laparoscopic vs Robotic-assisted Sacrocolpopexy

Background: Laparoscopic sacrocolpopexy has been in vogue since 1993. Robotic technique has started only since 2004.1 In this article both the techniques are reviewed and an attempt is made to discuss the advantages of each. Objective: Initially, a description of the procedure is given. Then, the article will review the recent published studies on the procedure, patient selection, intraoperative complications, postoperative complications, recovery, postoperative pain, quality of life and economic aspect of sacrocolpopexy performed laparoscopically and robotic assisted and discuss the merits of each. Materials and methods: Literature review conducted from Google, PubMed, Springer Link, Highwire Press, da Vinci surgery community. Conclusion: The minimal access approach offers reduced morbidity, shorter hospitalization, and decreased postoperative pain. The disadvantages of the laparoscopic approach compared to open include longer operating time and need for advanced laparoscopic surgical skills including suturing. Robotassisted laparoscopic procedure allows the performance of complex laparoscopic maneuvers with less ergonomic difficulty, and thereby simplifies the complex procedure but is currently expensive.