Robotic Rectopexy: A Single-Centre Experience.

Abstract

Background and aims Rectal prolapse and rectocele are socially and psychologically debilitating conditions. While laparoscopic rectopexy has improved outcomes over open surgery, it faces limitations in pelvic access, mesh positioning, and suturing. Robotic-assisted rectopexy may overcome these challenges through enhanced visualisation and manoeuvrability. This study presents a single-centre experience of robotic rectopexy. Methods A retrospective review was conducted at Stepping Hill Hospital, Stockport, UK, from 2019-2024. Data collected included operative time, intra- and postoperative complications, analgesia requirement and length of stay. Results Twenty-one patients underwent robotic rectopexy. The mean operative time was three hours and 18 minutes. No conversions or intraoperative complications were observed. All patients were managed with simple analgesia. Fifteen (71.4%) were discharged on post-operative day (POD) 1, four patients on POD 2 and two patients were discharged later (POD >3). The mean hospital stay was 1.6 days. Two patients had small postoperative collections managed conservatively. One recurrence was observed on follow-up. Conclusions Robotic rectopexy is a safe and effective technique for rectal prolapse, demonstrating minimal complications and short hospital stays. Further research is warranted to assess long-term outcomes.