Abstract：
BACKGROUND: Pelvic organ prolapse (POP) is a common condition that can affect up to 30% of women over the age of 50. For a long time, open abdominal and laparoscopic sacrocolpopexy (LSCP) have been considered the gold standard in the treatment of apical pelvic organ prolapse (POP). Promontory dissection may expose patients to potential life-threatening intraoperative vascular injuries, as well as damage to sacral roots or the hypogastric nerve. Laparoscopic lateral suspension could be considered as an alternative to LSCP in the treatment of POP due to its favorable objective and subjective outcomes. The aim of this article is to demonstrate a step-by-step approach to laparoscopic lateral suspension for POP with the goal of standardizing this procedure. Technical key points and the latest progress are summarized to provide a reference for subsequent gynecological and urological surgeons.
METHODS: According to our surgical experience of our hospital, demonstrate a step-by-step approach and highlight technical key points for laparoscopic lateral suspension for POP with the aim of standardizing this procedure.
CONCLUSIONS: LLS with mesh is a safe alternative to laparoscopic sacropexy and is very well suited for uterine-preserving POP surgery. Nevertheless, this novel procedure lacks standardization. Standardization of procedures is necessary to reduce failure rates, generate impactful research data, and enhance patient safety. This article contributes to the standardization of this procedure, and we believe our article will be useful in assisting future gynecological and urological surgeons in performing this procedure.
METHODS: According to our surgical experience of our hospital, demonstrate a step-by-step approach and highlight technical key points for laparoscopic lateral suspension for POP with the aim of standardizing this procedure.
CONCLUSIONS: LLS with mesh is a safe alternative to laparoscopic sacropexy and is very well suited for uterine-preserving POP surgery. Nevertheless, this novel procedure lacks standardization. Standardization of procedures is necessary to reduce failure rates, generate impactful research data, and enhance patient safety. This article contributes to the standardization of this procedure, and we believe our article will be useful in assisting future gynecological and urological surgeons in performing this procedure.
摘要：
背景：盆腔器官脱垂（POP）是一种常见病，可影响多达30％的50岁以上女性。很长一段时间,开腹和腹腔镜骶结肠切除术（LSCP）已被认为是治疗顶部盆腔器官脱垂（POP）的金标准。海角夹层可能会使患者暴露于潜在的危及生命的术中血管损伤，以及骶根或腹下神经的损伤。腹腔镜侧向悬吊术由于其有利的客观和主观结果，可被认为是LSCP治疗POP的替代方法。本文的目的是证明POP腹腔镜横向悬吊术的分步方法，目的是使该程序标准化。总结技术要点和最新进展，为后续妇科和泌尿外科医生提供参考。
方法：根据我院手术经验，演示一个循序渐进的方法，并强调腹腔镜侧向悬吊术的技术要点，目的是标准化该程序。
结论：带网眼的LLS是腹腔镜下膀胱切除术的安全替代方案，非常适合保留子宫的POP手术。然而，这种新颖的程序缺乏标准化。程序的标准化对于降低故障率是必要的，产生有影响力的研究数据，提高患者安全。本文有助于该程序的标准化，我们相信我们的文章将有助于帮助未来的妇科和泌尿外科医生进行此手术。
方法：根据我院手术经验，演示一个循序渐进的方法，并强调腹腔镜侧向悬吊术的技术要点，目的是标准化该程序。
结论：带网眼的LLS是腹腔镜下膀胱切除术的安全替代方案，非常适合保留子宫的POP手术。然而，这种新颖的程序缺乏标准化。程序的标准化对于降低故障率是必要的，产生有影响力的研究数据，提高患者安全。本文有助于该程序的标准化，我们相信我们的文章将有助于帮助未来的妇科和泌尿外科医生进行此手术。
