侧腹壁悬吊术治疗盆腔器官脱垂的新进展
Recent Advances in Lateral Abdominal Wall Suspension for the Treatment of Pelvic Organ Prolapse
摘要: 盆腔器官脱垂(Pelvic Organ Prolapse, POP)是一种常见的妇科疾病，特别是在中老年女性中，表现为子宫、膀胱、直肠等盆腔器官的异常下降。会导致患者身体形象受损和生活质量下降。随着人口老龄化和生活方式的变化，盆腔器官脱垂的发生率逐年上升。目前主要的治疗方法包括保守治疗与手术治疗，手术治疗入路的不同又可分为经阴道重建手术和经腹重建手术。近年来，侧腹壁悬吊术作为一种新兴的手术方式，逐渐成为治疗盆腔器官脱垂的有效选择之一，并且随着微创技术的发展，腹腔镜技术和达芬奇机器人技术也被熟练应用于侧腹壁悬吊术中。本文就侧腹壁悬吊术用于盆腔器官脱垂的治疗进展进行综述。
Abstract: Pelvic Organ Prolapse (POP) is a common gynecological disorder, especially in middle-aged and older women, characterized by abnormal decline of the pelvic organs such as the uterus, bladder, and rectum. It can lead to impaired body image and reduced quality of life. With the aging of the population and the change of lifestyle, the incidence of pelvic organ prolapse is increasing year by year. At present, the main treatment methods include conservative treatment and surgical treatment, and the different surgical treatment approaches can be divided into transvaginal reconstruction and transabdominal reconstruction. In recent years, lateral abdominal wall suspension, as a new surgical method, has gradually become one of the effective options for the treatment of pelvic organ prolapse. With the development of minimally invasive technology, laparoscopic technology and Da Vinci robot technology have also been skillfully applied in lateral abdominal wall suspension. This article reviews the progress of lateral abdominal wall suspension in the treatment of pelvic organ prolapse.
文章引用：王潇, 周勤. 侧腹壁悬吊术治疗盆腔器官脱垂的新进展[J]. 临床医学进展, 2025, 15(4): 362-368. https://doi.org/10.12677/acm.2025.154942

参考文献

[1] 中华医学会妇产科学分会妇科盆底学组. 盆腔器官脱垂的中国诊治指南(2020年版) [J]. 中华妇产科杂志, 2020, 55(5): 300-306.
[2] Wilkins, M.F. and Wu, J.M. (2017) Lifetime Risk of Surgery for Stress Urinary Incontinence or Pelvic Organ Prolapse. Minerva Obstetrics and Gynecology, 69, 171-177. [Google Scholar] [CrossRef] [PubMed]
[3] Fink, K., Shachar, I.B. and Braun, N.M. (2016) Uterine Preservation for Advanced Pelvic Organ Prolapse Repair: Anatomical Results and Patient Satisfaction. International braz j urol, 42, 773-778. [Google Scholar] [CrossRef] [PubMed]
[4] Summers, A., Winkel, L.A., Hussain, H.K. and DeLancey, J.O.L. (2006) The Relationship between Anterior and Apical Compartment Support. American Journal of Obstetrics and Gynecology, 194, 1438-1443. [Google Scholar] [CrossRef] [PubMed]
[5] Giraudet, G., Protat, A. and Cosson, M. (2018) The Anatomy of the Sacral Promontory: How to Avoid Complications of the Sacrocol-Popexy Procedure. American Journal of Obstetrics and Gynecology, 2018, S0002937817328107.
[6] Kapandji, M. (1967) Treatment of Urogenital Prolapse by Colpoisthmo-Cystopexy with Transverse Strip and Crossed, Multiple Layer, Ligamento-Peritoneal Douglasorrhaphy. Annales de chirurgie, 21, 321-328.
[7] Dubuisson, J.B., Jacob, S., Chapron, C., et al. (2002) [Laparoscopic Treatment of Genital Prolapse: Lateral Utero-Vaginal Suspension with 2 Meshes. Results of a Series of 47 Patients]. Gynecologie, Obstetrique & Fertilite, 30, 114-120.
[8] Dällenbach, P. and Veit, N. (2014) Robotically Assisted Laparoscopic Repair of Anterior Vaginal Wall and Uterine Prolapse by Lateral Suspension with Mesh: Initial Experience and Video. International Urogynecology Journal, 25, 1137-1139. [Google Scholar] [CrossRef] [PubMed]
[9] Mereu, L., Dalpra, F., Terreno, E., et al. (2018) Mini-Laparoscopic Repair of Apical Pelvic Organ Prolapse (POP) by Lateral Suspension with Mesh. Facts, Views & Vision in ObGyn, 10, 139-145.
[10] Giannini, A., Russo, E., Mannella, P. and Simoncini, T. (2016) Single Site Robotic-Assisted Apical Lateral Suspension (SS R-ALS) for Advanced Pelvic Organ Prolapse: First Case Reported. Journal of Robotic Surgery, 11, 259-262. [Google Scholar] [CrossRef] [PubMed]
[11] Miele, G.M., Marra, P.M., Cefalì, K., Venturella, R., Di Carlo, C. and Zullo, F. (2021) A New Combined Laparoscopic-Vaginal Lateral Suspension Procedure for the Treatment of Pelvic Organ Prolapse. Urology, 149, 263. [Google Scholar] [CrossRef] [PubMed]
[12] Cornier, E. and Madelenat, P. (1994) The M. Kapandji Hysteropexy: A Laparoscopic Technic and Preliminary Results. Journal de Gynecologie, Obstetrique et Biologie de la Reproduction, 23, 378-385.
[13] Dubuisson, J., Chapron, C., Fauconnier, A., Babaki‐Fard, K. and Dendrinos, S. (2000) Laparoscopic Management of Genital Prolapse: Lateral Suspension with Two Meshes. Gynaecological Endoscopy, 9, 363-368. [Google Scholar] [CrossRef] 
[14] Dubuisson, J.B., Eperon, I., Jacob, S., et al. (2011) Laparoscopic Repair of Pelvic Organ Prolapse by Lateral Suspension with Mesh: A Continuous Series of 218 Patients. Gynecologie, Obstetrique & Fertilite, 39, 127-131.
[15] Dubuisson, J.-B., Yaron, M., Wenger, J.-M., et al. (2008) Treatment of Genital Prolapse by Laparoscopic Lateral Suspension Using Mesh: A Series of 73 Patients. Journal of Minimally Invasive Gynecology, 15, 49-55. [Google Scholar] [CrossRef] [PubMed]
[16] Veit-Rubin, N., Dubuisson, J., Gayet-Ageron, A., Lange, S., Eperon, I. and Dubuisson, J. (2017) Patient Satisfaction after Laparoscopic Lateral Suspension with Mesh for Pelvic Organ Prolapse: Outcome Report of a Continuous Series of 417 Patients. International Urogynecology Journal, 28, 1685-1693. [Google Scholar] [CrossRef] [PubMed]
[17] Yassa, M. and Tug, N. (2019) Uterus-preserving Laparoscopic Lateral Suspension with Mesh Operation in Pelvic Organ Prolapse: Initial Experience in a Single Tertiary Center with a Median 24-Month Follow-Up. Geburtshilfe und Frauen-heilkunde, 79, 983-992. [Google Scholar] [CrossRef] [PubMed]
[18] Dällenbach, P., De Oliveira, S.S., Marras, S. and Boulvain, M. (2016) Incidence and Risk Factors for Mesh Erosion after Laparoscopic Repair of Pelvic Organ Prolapse by Lateral Suspension with Mesh. International Urogynecology Journal, 27, 1347-1355. [Google Scholar] [CrossRef] [PubMed]
[19] Veit-Rubin, N., Dubuisson, J., Lange, S., Eperon, I. and Dubuisson, J. (2015) Uterus-preserving Laparoscopic Lateral Suspension with Mesh for Pelvic Organ Prolapse: A Patient-Centred Outcome Report and Video of a Continuous Series of 245 Patients. International Urogynecology Journal, 27, 491-493. [Google Scholar] [CrossRef] [PubMed]
[20] Chatziioannidou, K., Veit-Rubin, N. and Dällenbach, P. (2021) Laparoscopic Lateral Suspension for Anterior and Apical Prolapse: A Prospective Cohort with Standardized Technique. International Urogynecology Journal, 33, 319-325. [Google Scholar] [CrossRef] [PubMed]
[21] Russo, E., Giannini, A., Guevara, M.M., Mannella, P., Misasi, G., Falcone, M., et al. (2019) Medium-Term Outcomes after Robotic-Assisted Lateral Suspension with Mesh for Advanced Multi-Compartmental Prolapse. International Urogynecology Journal, 31, 1647-1653. [Google Scholar] [CrossRef] [PubMed]
[22] Dubuisson, J., Eperon, I., Dällenbach, P. and Dubuisson, J. (2012) Laparoscopic Repair of Vaginal Vault Prolapse by Lateral Suspension with Mesh. Archives of Gynecology and Obstetrics, 287, 307-312. [Google Scholar] [CrossRef] [PubMed]
[23] Veit-Rubin, N., Dubuisson, J., Constantin, F., Lange, S., Eperon, I., Gomel, V., et al. (2018) Uterus Preservation Is Superior to Hysterectomy When Performing Laparoscopic Lateral Suspension with Mesh. International Urogynecology Journal, 30, 557-564. [Google Scholar] [CrossRef] [PubMed]
[24] Isenlik, B.S., Aksoy, O., Erol, O. and Mulayim, B. (2022) Comparison of Laparoscopic Lateral Suspension and Laparoscopic Sacrocolpopexy with Concurrent Total Laparoscopic Hysterectomy for the Treatment of Pelvic Organ Prolapse: A Randomized Controlled Clinical Trial. International Urogynecology Journal, 34, 231-238. [Google Scholar] [CrossRef] [PubMed]
[25] Dällenbach, P., Alec, M., Boulvain, M. and Shabanov, S. (2021) Outcomes of Robotically Assisted Laparoscopic Lateral Suspension (RALLS) with Mesh for Anterior and Apical Prolapse. Journal of Robotic Surgery, 16, 287-294. [Google Scholar] [CrossRef] [PubMed]
[26] Malanowska, E., Starczewski, A., Bielewicz, W. and Balzarro, M. (2019) Assessment of Overactive Bladder after Laparoscopic Lateral Suspension for Pelvic Organ Prolapse. BioMed Research International, 2019, Article ID: 9051963. [Google Scholar] [CrossRef] [PubMed]

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