Twenty years of laparoscopic sacrocolpopexy: where are we now?
Twenty years of laparoscopic sacrocolpopexy: where are we now?
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DOI：
10.1007/s00192-011-1361-z
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发表时间：
2011-09-01
影响因子：
1.8
通讯作者：
Wattiez, Arnaud
中科院分区：
文献类型：
--
作者：
Gabriel, Boris;Nassif, Joseph;Wattiez, Arnaud
腹腔镜骶colpop固定术（LSC）在近20年前首次被描述。该技术旨在提供金标准腹部入路的结果，同时提供微创手术的好处。然而，LSC在盆腔器官脱垂（POP）治疗中的广泛扩散受到其预期长度和技术困难的阻碍，因为它固有的需要腹腔镜缝合技巧。在本文中，我们在历史概述的基础上，在三种不同的POP校正方法之间的相互关系的范式中，强调了LSC的现状。结果15年来的巨大变化使我们对LSC的病理及其治疗有了更好的了解，这使我们能够改进LSC，简化它，并使其更具可重复性。结论在未来，我们需要更多的前瞻性研究来比较LSC与阴道重建手术。
Introduction and hypothesis Laparoscopic sacrocolpopexy (LSC) was first described almost 20 years ago. This technique aims to provide the outcomes of the gold standard abdominal approach while offering the benefits of minimally invasive surgery. However, the widespread diffusion of LSC in the management of pelvic organ prolapse (POP) is hampered by its presumed length and technical difficulties due to the inherent need for laparoscopic suturing skills.Methods In this article, we highlight the current status of LSC based on a historical overview and in the paradigm of an interrelationship between the three different approaches to POP correction.Results The enormous changes over the past 15 years have contributed to a better understanding of the pathologies and their treatment, which has enabled us to refine LSC, to simplify it, and to make it much more reproducible.Conclusions In the future, we will need more prospective studies to compare LSC with vaginal reconstructive surgery.