机器人辅助腹腔镜输卵管吻合术：单机构分析
Robotic-assisted laparoscopic tubal anastomosis: Single institution analysis.
作者信息
Ghomi Ali, Nolan William, Rodgers Bruce
机构信息
Department of Obstetrics and Gynecology, Sisters of Charity Hospital, Buffalo, New York, USA.
出版信息
Int J Med Robot. 2020 Dec;16(6):1-5. doi: 10.1002/rcs.2155. Epub 2020 Sep 21.
BACKGROUND
Tubal anastomosis has similar pregnancy rates regardless of approach. Historically, robotic anastomosis has been associated with increased cost and operative time. We sought to perform a contemporary study of these metrics.
METHODS
One hundred and nine patients were identified who underwent robotic-assisted laparoscopic tubal anastomosis. Retrospective analysis of medical records was performed. Phone survey was conducted.
RESULTS
The mean operative time decreased from 140.7 ± 27.0 min in 2013 to 60.0 ± 9.1 min in 2018, with significant downward trend (p < 0.001). The mean cost was $7153.46 ± $1484.41. The pregnancy rate was 59% (35/59), and tubal patency rate was 81% (42/52). Seventy-two percent of patients under 37 years became pregnant.
CONCLUSIONS
There is significant improvement in operative time of robotic-assisted tubal anastomosis with surgical experience. Robotic tubal anastomosis outperformed historical metrics of laparoscopy and laparotomy with regard to operative time and cost in this series.
背景
无论采用何种手术方式，输卵管吻合术的妊娠率相似。从历史上看，机器人辅助吻合术与成本增加和手术时间延长有关。我们试图对这些指标进行一项当代研究。
方法
确定了109例行机器人辅助腹腔镜输卵管吻合术的患者。对病历进行回顾性分析，并进行电话调查。
结果
平均手术时间从2013年的140.7±27.0分钟降至2018年的60.0±9.1分钟，呈显著下降趋势（p<0.001）。平均费用为7153.46美元±1484.41美元。妊娠率为59%（35/59），输卵管通畅率为81%（42/52）。37岁以下患者中有72%怀孕。
结论
随着手术经验的积累，机器人辅助输卵管吻合术的手术时间有显著改善。在本系列研究中，机器人输卵管吻合术在手术时间和成本方面优于腹腔镜手术和开腹手术的历史指标。
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