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Journal Article
Robotic assisted andrological surgery
2013
Overview
The introduction of the operative microscope for andrological surgery in the 1970s provided enhanced magnification and accuracy, unparalleled to any previous visual loop or magnification techniques. This technology revolutionized techniques for microsurgery in andrology. Today, we may be on the verge of a second such revolution by the incorporation of robotic assisted platforms for microsurgery in andrology. Robotic assisted microsurgery is being utilized to a greater degree in andrology and a number of other microsurgical fields, such as ophthalmology, hand surgery, plastics and reconstructive surgery. The potential advantages of robotic assisted platforms include elimination of tremor, improved stability, surgeon ergonomics, scalability of motion, multi-input visual interphases with up to three simultaneous visual views, enhanced magnification, and the ability to manipulate three surgical instruments and cameras simultaneously. This review paper begins with the historical development of robotic microsurgery. It then provides an in-depth presentation of the technique and outcomes of common robotic microsurgical andrological procedures, such as vasectomy reversal, subinguinal varicocelectomy, targeted spermatic cord denervation （for chronic orchialgia） and robotic assisted microsurgical testicular sperm extraction （microTESE）.
Publisher
Medknow Publications & Media Pvt. Ltd,Nature Publishing Group
Subject
/ Humans
/ Male
/ Microsurgery - instrumentation
/ Review
/ Robotics
/ Surgeons
/ Surgery
/ Surgery, Computer-Assisted - instrumentation
/ Testicular Diseases - surgery
/ Tremors
/ Urologic Surgical Procedures, Male - instrumentation
/ Urologic Surgical Procedures, Male - methods
/ Visual
/ 人体工程学设计
/ 可视化界面
/ 手术机器人
/ 放大倍率
/ 放大技术
/ 显微外科
/ 精索静脉曲张
/ 输精管结扎术
