Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Urol Clin North Am. 2021 Feb;48(1):127-135. doi: 10.1016/j.ucl.2020.09.009. Epub 2020 Nov 5.
The robotic platform offers theoretical and practical advantages to microsurgical male infertility surgery. These include reduction or elimination of tremor, 3-dimensional visualization, and decreased need for skilled surgical assistance. This article reviews the application of robotic surgery to each of the 4 primary male infertility procedures: vasectomy reversal, varicocelectomy, testicular sperm extraction, and spermatic cord denervation. Historical perspective is presented alongside the available outcomes data, which are limited in most cases. Before the robotic approach can be widely adopted, further clinical trials are needed to compare outcomes and costs with those of other validated surgical techniques.
机器人平台为显微男性不育手术提供了理论和实践上的优势。这些优势包括减少或消除震颤、三维可视化以及对熟练手术辅助的需求降低。本文回顾了机器人手术在四种主要男性不育手术中的应用：输精管复通术、精索静脉结扎术、睾丸精子提取术和精索神经切断术。本文介绍了历史背景和现有的研究数据，在大多数情况下，这些数据都很有限。在机器人手术广泛应用之前，需要进一步的临床试验来比较其与其他经过验证的手术技术的结果和成本。
