{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:50:35Z","timestamp":1785307835566,"version":"3.55.0"},"reference-count":51,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the efficacy, safety and perioperative outcomes of robotic\u2010assisted sacrocolpopexy (RASC) versus laparoscopic sacrocolpopexy (LSC) for the surgical management of apical or multicompartment pelvic organ prolapse (POP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review and meta\u2010analysis of randomised controlled trials (RCTs) and observational studies (PROSPERO CRD42025111099), conducted according to PRISMA guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Secondary and tertiary care centres.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Women undergoing sacrocolpopexy for POP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical databases (PubMed, Scopus, ISI Web of Science, Embase, Cochrane) were searched from inception to April 2025 for studies comparing RASC versus LSC. Risk\u2010of\u2010bias was assessed using the Cochrane tool for RCTs and Joanna Briggs Institute checklists for observational studies. Data were meta\u2010analysed separately by study design using odds ratios (ORs) and standardised mean differences with 95% confidence intervals (CIs), applying fixed\u2010 or random\u2010effects models according to heterogeneity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Operative time, anatomical outcomes, complications, conversion to laparotomy, recurrence and patient\u2010reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five RCTs and twenty\u2010four observational studies were included. In RCTs, no significant differences between RASC and LSC in operative time, anatomical outcomes or patient\u2010reported outcomes were found, with similar intraoperative and post\u2010operative complication rates. In observational studies, perioperative outcomes, complications, mesh exposure, readmissions and recurrence were comparable, but RASC ensured lower conversion to laparotomy (OR 0.2, 95% CI 0.1\u20130.3).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RASC and LSC provide equivalent anatomical and clinical outcomes with similar morbidity. RASC may be particularly useful in complex or technically demanding cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.70218","type":"journal-article","created":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T06:35:45Z","timestamp":1773470145000},"page":"1529-1538","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic Versus Robot\u2010Assisted Sacrocolpopexy: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5309-2813","authenticated-orcid":false,"given":"Amerigo","family":"Ferrari","sequence":"first","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology University of Pisa  Pisa Italy"},{"name":"Scuola Superiore Sant'anna, Institute of Management, MeS (Management and Health) Laboratory  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Borrelli","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giaele","family":"Moretti","sequence":"additional","affiliation":[{"name":"Scuola Superiore Sant'anna, Institute of Management, MeS (Management and Health) Laboratory  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Caretto","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Pisacreta","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Giannini","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8146-6731","authenticated-orcid":false,"given":"Paolo","family":"Mannella","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Vizzielli","sequence":"additional","affiliation":[{"name":"Medical Area Department (DAME), Department of Medicine (DMED) University of Udine  Udine Italy"},{"name":"Clinic of Obstetrics and Gynecology \u201cS. Maria Della Misericordia\u201d University Hospital, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC)  Udine Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Campagna","sequence":"additional","affiliation":[{"name":"Precision Gynecological Surgery Unit, Dipartimento Centro di Eccellenza Donna e Bambino Nascente Fatebenefratelli Gemelli Isola Tiberina  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso","family":"Simoncini","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, Division of Obstetrics and Gynaecology University of Pisa  Pisa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60462-0"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-04875-y"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181c2ce96"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000070"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-068145"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2015.06.032"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1543266"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3296-5"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.12.064"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.02038.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31827a029e"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2015.08.008"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16324"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-20-4347"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.02.053"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2763-0"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2619-8"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471\u20100528.18278"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/joor.12633"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.26241"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.09.004"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318231537c"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.07.043"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2023.11.016"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000006"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000300"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0744-2"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.02.086"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-024-05942-w"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0b013e31824b218d"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-012-2691-x"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2024.12.006"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13164802"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-020-04291-8"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-020-04570-4"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-020-01177-1"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000001133"},{"issue":"114","key":"e_1_2_12_39_1","first-page":"483","article-title":"Minimally Invasive Surgery in Urogynecology: A Comparison of Standard Laparoscopic, Minilaparoscopic, Percutaneous Surgical System, and Robotic Sacral Colpopexy","volume":"112","author":"Panico G.","year":"2021","journal-title":"Minerva Medica"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14497"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14959"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2014.09.045"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.07.054"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000036"},{"key":"e_1_2_12_45_1","first-page":"113","article-title":"Robotic Versus Laparoscopic Sacrocolpopexy For Apical Prolapse: A Case\u2010Control Study","volume":"37","author":"Cucinella G.","year":"2016","journal-title":"Giornale di Chirurgia\u2014Journal of the Italian Surgical Association"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000269"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-023-01799-1"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701\u2010021\u201001329\u2010x"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010024\u201010917\u20105"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-025-02973-3"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12062268"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.17242"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.70218","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.70218","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.70218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T04:28:59Z","timestamp":1781152139000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.70218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,13]]},"references-count":51,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1111\/1471-0528.70218"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.70218","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,13]]},"assertion":[{"value":"2025-12-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}