3D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in rats  

作　　者：Peng Li Na-Chuan Liu Er-Lei Zhi Chen-Cheng Yao Zhi-Liang Zhao Zhi-Yong Yu Qi-Meng Li Yu-Hua Huang Jie-Chang Ju Wen-Bin Huang Husanjan Rozi Zhi-Yong Ji San-Wei Guo Ru-Hui Tian Zheng Li 

机构地区：[1]Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200080,China [2]Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China [3]Weifang Traditional Chinese Hospital,Weifang 250200,China [4]The Third Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China [5]Zhengzhou Central Hospital Affiliated with Zhengzhou University,Zhengzhou 450007,China [6]Wenzhou Integrated Traditional Chinese,Wenzhou 325000,China [7]Kashgar District Second People's Hospital,Kashgar 844000,China [8]Shanghai General Hospital of Nanjing Medical University,Shanghai 200080,China [9]Shanghai Tenth People's Hospital,Tongji University,Shanghai 200072,China

出　　处：《Asian Journal of Andrology》2021年第4期396-399,共4页亚洲男性学杂志（英文版）

基　　金：This work was supported by grants from the National Nature Science Foundation of China(81701524,81871215);the Strategic Priority Research Program of the Chinese Academy of Sciences(XDA16020701);the National Key R&D Program of China(2017YFC1002003).

摘　　要：Optimal vision and ergonomics are essential factors contributing to the achievement of good results during microsurgery.The three-dimensional(3D)digital image microscope system with a better 3D depth of field can release strain on the surgeon's neck and back,which can improve outcomes in microsurgery.We report a randomized prospective study of vasoepididymostomy and vasovasostomy using a 3D digital image microscope system(3D-DIM)in rats.A total of 16 adult male rats were randomly divided into two groups of 8 each:the standard operating microscope(SOM)group and the 3D-DIM group.The outcomes measured included the operative time,real-time postoperative mechanical patency,and anastomosis leakage.Furthermore,a user-friendly microscope score was designed to evaluate the ergonomic design and equipment characteristics of the microscope.There were no differences in operative time between the two groups.The real-time postoperative mechanical patency rates were 100.0%for both groups.The percentage of vasoepididymostomy anastomosis leakage was 16.7%in the SOM group and 25.0%in the 3D-DIM group;however,no vasovasostomy anastomosis leakage was found in either group.In terms of the ergonomic design,the 3D-DIM group obtained better scores based on the surgeon's feelings;in terms of the equipment characteristics,the 3D-DIM group had lower scores for clarity and higher scores for flexibility and adaptivity.Based on our randomized prospective study in a rat model,we believe that the 3D-DIM can improve surgeon comfort without compromising outcomes in male infertility reconstructive microsurgery,so the 3D-DIM might be widely used in the future.

关 键 词：MICROSURGERY three-dimensional digital image microscope system VASOEPIDIDYMOSTOMY VASOVASOSTOMY 

分 类 号：R699.8[医药卫生—泌尿科学]