Abstract：
BACKGROUND: Pelvic organ prolapse is a condition with high prevalence in elderly women. With increasing life expectancy and a desire for improved quality of life, a rise in the frequency of surgical treatments for these women is anticipated. The aim is to compare complication, success, and satisfaction rates among elderly patients (aged >70 years) in comparison to younger women undergoing robotic sacrocolpopexy, thereby assessing the safety and efficacy of this surgery in this group of patients.
METHODS: A prospective observational comparative study of 123 robotic sacrocolpopexies conducted between December 2016 and June 2022. Patients were stratified by age (cutoff point: 70 years). Baseline characteristics, type, and grade of prolapse, intra and postoperative data, complications, functional and anatomical outcomes, and satisfaction levels were collected.
RESULTS: Among the 123 patients, 62.6% were under 70 years old, while 37.4% were 70 years or older, exhibiting similar baseline characteristics, prolapse grade, and type. The percentages of intraoperative (6.5%) and postoperative complications (4.4-9%) were comparable in both age groups. Furthermore, success and satisfaction rates exceeded 90%, with no significant differences between women under and over 70 years during a two-year follow-up.
CONCLUSIONS: Robotic sacrocolpopexy is at least as effective and safe in women aged 70 years or older as in younger individuals, with no higher rates of intra and postoperative complications and similar rates of anatomical and subjective success.
METHODS: A prospective observational comparative study of 123 robotic sacrocolpopexies conducted between December 2016 and June 2022. Patients were stratified by age (cutoff point: 70 years). Baseline characteristics, type, and grade of prolapse, intra and postoperative data, complications, functional and anatomical outcomes, and satisfaction levels were collected.
RESULTS: Among the 123 patients, 62.6% were under 70 years old, while 37.4% were 70 years or older, exhibiting similar baseline characteristics, prolapse grade, and type. The percentages of intraoperative (6.5%) and postoperative complications (4.4-9%) were comparable in both age groups. Furthermore, success and satisfaction rates exceeded 90%, with no significant differences between women under and over 70 years during a two-year follow-up.
CONCLUSIONS: Robotic sacrocolpopexy is at least as effective and safe in women aged 70 years or older as in younger individuals, with no higher rates of intra and postoperative complications and similar rates of anatomical and subjective success.
摘要：
背景：盆腔器官脱垂是老年女性的高患病率。随着预期寿命的增加和对提高生活质量的渴望，预计这些妇女接受手术治疗的频率会增加。目的是比较并发症，成功,老年患者（年龄>70岁）的满意率与接受机器人骶结肠切除术的年轻女性相比，从而评估该手术在该组患者中的安全性和有效性。
方法：在2016年12月至2022年6月之间对123个机器人sacrocolpopexies进行的前瞻性观察性比较研究。患者按年龄分层（截止点：70岁）。基线特征，type,和脱垂的等级，术中和术后数据，并发症,功能和解剖学结果，并收集了满意度。
结果：在123例患者中，62.6%的人年龄在70岁以下，37.4%的人年龄在70岁或70岁以上，表现出相似的基线特征，脱垂等级,和类型。两个年龄组的术中（6.5％）和术后并发症（4.4-9％）的百分比相当。此外，成功率和满意率超过90%，在两年的随访中，70岁以下和70岁以上的女性之间没有显着差异。
结论：对于70岁或以上的女性来说，机器人骶结肠移植至少与年轻人一样有效和安全。术中和术后并发症发生率较高，解剖学和主观成功率相似。
方法：在2016年12月至2022年6月之间对123个机器人sacrocolpopexies进行的前瞻性观察性比较研究。患者按年龄分层（截止点：70岁）。基线特征，type,和脱垂的等级，术中和术后数据，并发症,功能和解剖学结果，并收集了满意度。
结果：在123例患者中，62.6%的人年龄在70岁以下，37.4%的人年龄在70岁或70岁以上，表现出相似的基线特征，脱垂等级,和类型。两个年龄组的术中（6.5％）和术后并发症（4.4-9％）的百分比相当。此外，成功率和满意率超过90%，在两年的随访中，70岁以下和70岁以上的女性之间没有显着差异。
结论：对于70岁或以上的女性来说，机器人骶结肠移植至少与年轻人一样有效和安全。术中和术后并发症发生率较高，解剖学和主观成功率相似。
