Review of the role of robotic surgery in male infertility.
Review of the role of robotic surgery in male infertility.
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DOI：
10.1016/j.aju.2017.11.006
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发表时间：
2018-03
影响因子：
1.5
通讯作者：
Parekattil SJ
中科院分区：
文献类型：
--
作者：
Etafy M;Gudeloglu A;Brahmbhatt JV;Parekattil SJ
介绍男性不育症各种机器人辅助显微外科手术的当前技术水平，并回顾最新文献，因为自 Vinci® 机器人平台（Intuitive Surgical, Inc.，桑尼维尔，加利福尼亚州，美国）合并以来，不孕症手术技术已得到实质性发展。本综述中的检索策略是根据 Cochrane 指南和系统评价和荟萃分析的首选报告项目 (PRISMA) 进行的。在 MEDLINE、PubMed 和 Cochrane 电子数据库（从 2000 年至今）中进行了一项搜索策略，以识别包括机器人不育和男性不育的研究。总共找到了 23 项研究，其中 12 项符合我们的纳入标准。如果研究不包括男性不育症和机器人技术，则文章被排除。机器人辅助男性不育症的显微外科手术似乎是安全可行的。它具有多种优点，包括消除震颤、多视图放大、附加仪器臂以及通过铰接仪器臂增强灵活性。它还具有较短的学习曲线和较小的皮肤切口。然而，需要更大规模的前瞻性研究来确定相对于标准显微手术的临床益处。
To present the current state of the art in various robot-assisted microsurgical procedures in male infertility and review the latest literature, as the technology in infertility procedures has substantially developed since the incorporation of the Vinci® robotic platform (Intuitive Surgical, Inc., Sunnyvale, CA, USA). The search strategy in this review was conducted in accordance with Cochrane guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A search strategy was conducted in MEDLINE, PubMed and the Cochrane electronic databases (from 2000 to present) to identify studies that included both robotic and male infertility. In all, 23 studies were found, 12 of which met our inclusion criteria. Articles were excluded if the study did not include both male infertility and robotics. Robotic assistance for microsurgical procedures in male infertility appears to be safe and feasible. It has several advantages including elimination of tremor, multi-view magnification, additional instrument arms, and enhanced dexterity with articulating instrument arms. It also has a short learning curve with a small skin incision. However, larger, prospective studies are needed to establish the clinical benefits over standard microsurgery.