Table 2.
Published studies on laparoscopic (conventional or robotic-assisted) colpectomy including complications.
| Publication (year) | N | Method of colpectomy | OR time (minutes) | Complications |
|---|---|---|---|---|
| Nikkels et al. (2024) (12) | 140a | Robotic assisted laparoscopy Removal of the vaginal epithelium using monopolar scissors (similar to Groenman et al) | Median 176 (153–257) | - Urethra injury 1/140 (0.7%) - Urinary retention 24/140 (17.1%) - Urinary tract infection 11/140 (7.9%) - Hemorrhage requiring re-surgery 6/140 (4.3%) |
| Groenman et al. (2017) (8) | 36 | Robotic assisted laparoscopy Removal of uterus and adnexa using a uterine mobilizer, followed by Removal of the vaginal epithelium using monopolar scissors | Median 230 (197–278) | - Postoperative bleeding with readmission 1/36 (2.8%) - Urinary tract infection 2/36 (5.6%) - Urinary retention needing catheter 6/36 (16.7%) |
| Gomes da Costa et al. (2015) (19) | 23 | Laparoscopic colpectomy ‘In toto’ removal of uterus, adnexa and vagina, using a uterine manipulator Use of bipolar forceps, ligation of vaginal arteries Subsequent phalloplasty | Mean 155 (±42) | - Postoperative hematoma 2/23 (8.7%) - 1 requiring second look laparoscopy - 1 resolved with antibiotics - Urinary retention 1/23 (4.3%) |
| Ergeneli et al. (1999) (20) | 8 | Laparoscopic assisted vaginal colpectomy Two surgeons performing simultaneously laparoscopically and vaginally Subsequent phalloplasty | Average 140 | - Bladder perforation 1/8 (12.5%) - Deep vein thrombosis 2/8 (25%) |
140 individuals in the laparoscopic group.