Shu Tung, Taghechian Shaya, Wang Run
Department of Urology, University of Texas Medical School, Houston, TX 77030, USA.
Asian J Androl. 2008 Jan;10(1):146-8. doi: 10.1111/j.1745-7262.2008.00354.x.
To determine if robot-assisted varicocelectomy can be safely and effectively performed when compared to microscopic inguinal varicocelectomy.
Eight patients aged 29.1+/-12.5 years underwent microscopic subinguinal varicocelectomies: seven patients with left-sided repair, and one patient with bilateral repair. Eight patients aged 22.0+/-8.0 years underwent robot-assisted varicocelectomies: seven patients with left-sided repair and one patient with bilateral repair.
The average operative time for microscopic inguinal varicocelectomy was 73.9+/-12.2 min, whereas the robot-assisted technique took 71.1+/-21.1 min. There were no difficulties in identifying and isolating vessels and the vas deferens with robot-assisted subinguinal varicocelectomy. Hand tremor was eliminated using the robotic procedure. Patients who underwent either microscopic or robot-assisted varicocelectomies were able to resume daily activities on the day of surgery and full activities within 2 weeks. There were no complications or recurrences of varicocele.
From our experience, compared to microscopic surgery, robot-assisted varicocelectomy can be safely and effectively performed, with the added benefit of eliminating hand tremor.
确定与显微镜下腹股沟精索静脉曲张切除术相比，机器人辅助精索静脉曲张切除术是否能安全有效地进行。
8名年龄为29.1±12.5岁的患者接受了显微镜下腹股沟下精索静脉曲张切除术：7例为左侧修复，1例为双侧修复。8名年龄为22.0±8.0岁的患者接受了机器人辅助精索静脉曲张切除术：7例为左侧修复，1例为双侧修复。
显微镜下腹股沟精索静脉曲张切除术的平均手术时间为73.9±12.2分钟，而机器人辅助技术的手术时间为71.1±21.1分钟。机器人辅助腹股沟下精索静脉曲张切除术在识别和分离血管及输精管方面没有困难。使用机器人手术消除了手部震颤。接受显微镜下或机器人辅助精索静脉曲张切除术的患者在手术当天即可恢复日常活动，并在2周内完全恢复正常活动。没有出现精索静脉曲张的并发症或复发。
根据我们的经验，与显微手术相比，机器人辅助精索静脉曲张切除术可以安全有效地进行，并且还有消除手部震颤的额外好处。
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