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Laparoscopic and robotic ventral rectopexy for posterior compartment disorders: a multicentric study in a gynecological setting.

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Τίτλος: Laparoscopic and robotic ventral rectopexy for posterior compartment disorders: a multicentric study in a gynecological setting.
Συγγραφείς: Panico G; Department of Woman and Child's Health and Public Health, Division of Urogynecology and Reconstructive Surgery of Pelvic Floor, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Mastrovito S; Department of Woman and Child's Health and Public Health, Division of Urogynecology and Reconstructive Surgery of Pelvic Floor, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Melocchi T; Department of Gynecology, CHU Lille, 59000, Lille, France.; Department of Gynecology, Fondazione IRCCS San Gerardo Dei Tintori, Monza, Italy., Campagna G; UOC of Gynecological Surgery and Urogynecology, Centre of Excellence Women and Childbirth, Ospedale Isola Tiberina - Gemelli Isola, Rome, Italy. giuseppe.campagna@policlinicogemelli.it., Ercoli A; Department of Human Pathology in Adult and Childhood 'G. Barresi', Unit of Gynecology and Obstetrics, University of Messina, Messina, Italy., Rubod C; Department of Gynecology, CHU Lille, 59000, Lille, France.; Faculté de Médecine, University of Lille, 59000, Lille, France.; UMR 9013 - LaMcube - Laboratoire de Mécanique, Multiphysique, Multiéchelle, University of Lille, CNRS, Centrale Lille, 59000, Lille, France., Cosson M; Department of Gynecology, CHU Lille, 59000, Lille, France.; Faculté de Médecine, University of Lille, 59000, Lille, France.; UMR 9013 - LaMcube - Laboratoire de Mécanique, Multiphysique, Multiéchelle, University of Lille, CNRS, Centrale Lille, 59000, Lille, France., Lallemant M; Department of Gynecology, CHU Lille, 59000, Lille, France.; Faculté de Médecine, University of Lille, 59000, Lille, France.; University of Lille, CHU Lille, ULR 2694 - METRICS, 59000, Lille, France., Ruffolo AF; Department of Gynecology, CHU Lille, 59000, Lille, France. alesruffolo@gmail.com.
Πηγή: Techniques in coloproctology [Tech Coloproctol] 2026 Jun 09; Vol. 30 (1). Date of Electronic Publication: 2026 Jun 09.
Τύπος έκδοσης: Journal Article; Multicenter Study; Observational Study
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 9613614 Publication Model: Electronic Cited Medium: Internet ISSN: 1128-045X (Electronic) Linking ISSN: 11236337 NLM ISO Abbreviation: Tech Coloproctol Subsets: MEDLINE
Imprint Name(s): Publication: <2001->: Milano, Italy : Springer-Verlag Italia
Original Publication: Rome : UCP Club
Ιατρικοί όροι (MeSH): Gynecologic Surgical Procedures*/methods , Laparoscopy*/methods , Laparoscopy*/adverse effects , Rectal Prolapse*/surgery , Rectocele*/surgery , Rectum*/surgery , Robotic Surgical Procedures*/methods , Robotic Surgical Procedures*/adverse effects, Constipation/etiology ; Fecal Incontinence/etiology ; Postoperative Complications/etiology ; Adult ; Aged ; Female ; Humans ; Middle Aged ; Colorectal Surgical Procedures ; Follow-Up Studies ; Recurrence ; Retrospective Studies ; Treatment Outcome
Περίληψη: Introduction: This study aimed to evaluate postoperative outcomes of minimally invasive ventral rectopexy (VRP) performed for posterior compartment defects in a gynecological setting, according to laparoscopic (L-VRP) or robotic (R-VRP) approaches.
Methods: Women with symptomatic posterior compartment defects, including enterocele, rectal prolapse, and rectocele, who underwent L-VRP or R-VRP, were retrospectively analyzed. Primary outcome was the evaluation of functional outcomes at ≥ 6-month follow-up; secondary outcomes included anatomical results, peri- and postoperative complications, and predictors of recurrence, postoperative constipation, and anal incontinence.
Results: A total of 102 women were included, 60 in the L-VRP group and 42 in the R-VRP group. Anterior sacrocolpopexy was performed in 70.6% of women (72/102). At a mean of 18-month follow-up, anorectal symptoms rate, constipation [L-VRP (17.7 ± 5.5) versus (2.5 ± 3.6): p < 0.001; R-VRP (15.2 ± 5.4) versus (2.6 ± 4.6): p < 0.001], and incontinence [L-VRP (11.6 ± 4.6) versus (1.1 ± 3.1): p < 0.001; R-VRP (10.7 ± 5.1) versus (1.2 ± 2.2): p < 0.001] Wexner scores significantly improved without difference according to the surgical route (p > 0.05). Posterior prolapse relapse was 1.0% (1/101), without difference between groups [L-VRP (1.7%;1/60) versus R-VRP (0%;0/41); p = 0.99]. Other anatomical and functional outcomes did not significantly differ between groups. One woman in L-VRP group (1.0%; 1/101) required the resection of the mesh for infection of the implanted material. No predictive factors emerged at multivariate analysis.
Conclusions: Minimally invasive VRP was associated with significant short- to mid-term anatomical and functional improvement and a low rate of perioperative complications. No statistically significant differences were observed between laparoscopic and robotic approaches; however, the study was not powered to demonstrate equivalence, and longer follow-up is required to assess durability and delayed mesh-related complications.
Trial Registration: DIPUSVSP-27-07-2087 retrospectively registered.
(© 2026. The Author(s).)
Competing Interests: Declarations. Conflict of interests: The authors declare no competing interests.
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Contributed Indexing: Keywords: Anal incontinence; Constipation; Enterocele; Pelvic organ prolapse; Rectal prolapse; Ventral rectopexy
Entry Date(s): Date Created: 20260609 Date Completed: 20260813 Latest Revision: 20260827
Update Code: 20260828
PubMed Central ID: PMC13473301
DOI: 10.1007/s10151-026-03365-x
PMID: 42262661
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1128-045X
DOI:10.1007/s10151-026-03365-x