Robotic-assisted microsurgery in andrology: a systematic review  

作　　者：Konstantinos Douroumis Eleftherios Spartalis Konstantinos Stravodimos Panagiotis K Levis Gerasimos Tsourouflis Dimitrios Dimitroulis Nikolaos I Nikiteas 

机构地区：[1]Hellenic Minimally Invasive and Robotic Surgery(MIRS)Study Group,National and Kapodistrian University of Athens,Medical School,Agiou Thoma 15b,Goudi,Athens 11527,Greece [2]First Department of Urology,National and Kapodistrian University of Athens,Medical School,Agiou Thoma 17,Goudi,Athens 11527,Greece [3]Second Department of Propaedeutic Surgery,National and Kapodistrian University of Athens,Medical School,Agiou Thoma 17,Goudi,Athens 11527,Greece

出　　处：《Asian Journal of Andrology》2023年第4期454-461,共8页亚洲男性学杂志（英文版）

摘　　要：Robot-assisted surgery is the gold standard of treatment in many fields of urology. In this systematic review, we aim to reportits usage in andrology and to evaluate any advantages. A systematic search of the PubMed and Cochrane Library databases wasconducted to identify articles referring to robotic-assisted microsurgery in andrology. The search strategy was in line with thePreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Cochrane Handbook. Thearticles were then reviewed by two authors. A qualitative analysis of the articles that met the inclusion criteria was performed.Thirty-one articles that met the inclusion criteria were reviewed. The first results for robot-assisted vasovasostomy (RAVV) areencouraging as excellent patency rates, short operative times, and learning curves were achieved. Interestingly, patency rates weregreater in some case series for RAVV than for microsurgical vasovasostomy, with a statistically significant difference. In addition,robot has been shown to be of great use in bypassing fibrotic changes in cases of iatrogenic vasal injuries, difficulties encounteredwith traditional microsurgery. In addition, the feasibility of robot-assisted microsurgery has been proven for varicocelectomy andmicrosurgical denervation of the spermatic cord, with acceptable improvement in sperm parameters and pain, respectively. Thecurrent evidence suggests that there are potential advantages of the use of robots in andrology. However, for robotic surgery tobecome incorporated into the daily use of the andrologists, large, multicenter randomized trials are needed. As robotics systemsare becoming standard in urology practice, it is reasonable for one to believe that they will also find their place in andrology.

关 键 词：ANDROLOGY male infertility robotic surgical procedures VARICOCELE VASOVASOSTOMY 

分 类 号：R699.8[医药卫生—泌尿科学]