Degueldre M, Vandromme J, Huong P T, Cadière G B
Department of Obstetrics and Gynecology, University Hospital Saint-Pierre, Free University Brussels, Brussels, Belgium.
Fertil Steril. 2000 Nov;74(5):1020-3. doi: 10.1016/s0015-0282(00)01543-0.
To assess the feasibility and reproducibility of laparoscopic microsurgical tubal anastomosis using a remote-controlled robot.
Descriptive case study.
Academic medical center.
PATIENT(S): Eight patients with previous laparoscopic tubal sterilization who requested tubal reanastomosis.
INTERVENTION(S): Systematization of the operative steps for laparoscopic tubal reanastomosis using a remote-controlled robot.
MAIN OUTCOME MEASURE(S): Primary outcome measures were feasibility and reproducibility; secondary measures were tubal patency, operative time, complications, and ergonomic qualities.
RESULT(S): The 16 tubes were successfully reanastomosed and patency was confirmed. The mean time that the robotic system was in use was 140 minutes, and mean surgical time was 52 minutes per tube.
CONCLUSION(S): Laparoscopic microsurgical tubal reanastomosis after tubal sterilization can be performed using a remote-controlled robotic system. The robot, which has three-dimensional vision, allows the surgeon to perform ultraprecise manipulations with intraabdominal articulated instruments while providing the necessary degrees of freedom. Systematization of the operative steps allowed performance of the operation at a speed that compares favorably with the time needed for open microsurgical techniques. Larger series are needed to assess postoperative pregnancy rates.
评估使用遥控机器人进行腹腔镜显微输卵管吻合术的可行性和可重复性。
描述性病例研究。
学术医疗中心。
8例曾接受腹腔镜输卵管绝育术且要求输卵管复通术的患者。
使用遥控机器人对腹腔镜输卵管复通术的手术步骤进行系统化。
主要观察指标为可行性和可重复性；次要指标为输卵管通畅情况、手术时间、并发症及人体工程学质量。
16条输卵管成功复通并确认通畅。机器人系统的平均使用时间为140分钟，每条输卵管的平均手术时间为52分钟。
输卵管绝育术后可使用遥控机器人系统进行腹腔镜显微输卵管复通术。该机器人具有三维视觉，能让外科医生使用腹腔内关节器械进行超精确操作，同时提供必要的自由度。手术步骤的系统化使得该手术的操作速度与开放显微手术技术所需时间相比具有优势。需要更大规模的系列研究来评估术后妊娠率。
