Robotic versus laparoscopic ventral mesh rectopexy
Ventral mesh rectopexy is frequently performed as a means of improving the quality of life for sufferers of rectal prolapse. The minimally invasive approach is highly desirable but can be technically difficult to achieve in the narrow confines of the pelvis. The robotic platform is becoming a more common means of overcoming these difficulties.

This study seeks to review and analyze the data comparing outcomes after robotic and laparoscopic ventral mesh rectopexy. The study was published in the International Journal of Colorectal Disease.

Researchers searched MEDLINE, EMBASE, and the Cochrane database for papers comparing robotic to laparoscopic ventral mesh rectopexy. Comparable data were pooled for meta-analysis. Six studies compared outcomes between robotic and laparoscopic ventral mesh rectopexy. Pooled analysis was possible for data on operating time, complication rates, conversion rates, and length of stay in the hospital.

This showed a non-significant trend towards longer operating times and a statistically significant reduction in length of stay after robotic procedures. There was no significant difference in complication and conversion rates.

The frequent finding of longer operating time for robotic surgery was not confirmed in this study. The shorter length of stay in hospital was seen, with other post-operative outcomes showing no significant difference.