輸精管重建手術：顯微手術與達文西機器人手臂輔助手術之比較

張肇元, 吳維哲, 鍾旭東

亞東紀念醫院 外科部 泌尿科

Comparison of Robot-assisted Vasovasostomy and Traditional Microscopic Vasovasostomy: A Single Center Experience

Chao-Yuan Chang, Wei-Che Wu, Shiu-Dong Chung

Divisions of Urology, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan

Purpose:

Vasal repair is the only solution of natural conception for obstructive azoospermia (OA). microscopic vasovasostomy (MVV) was first introduced in the 1970s. However, the requirement of extensive training and experience of microsurgery made Urologists hesitate. Over the past decade, the development of robot-assisted vasovasostomy (RAVV) gave us a new aspect of surgical approach in male infertility. This study aimed to share our experience in these two techniques.

Materials and Methods:

In this retrospective study, patient characteristics, surgical techniques, duration of surgery, and postoperative outcome of patency were reviewed. All vasovasostomy cases, either robot-assisted or microscopic, which was performed at a single center between January of 2011 and October of 2018 were included.

Results:

Total of 44 patients were reviewed and analyzed. The data showed that robot-assisted vasovasostomy (n=4) had technical advantages over microscopic vasovasostomy (n=40). In our study, the patient received robot-assisted vasovasostomy achieved a high rate of success.

Conclusion:

The excellent patency rate and short learning curve made robot-assisted vasovasostomy a more feasible solution to obstructive azoospermia.