Abstract：
Robotic surgery is a conceptual fusion of the conventional open surgery and the minimally invasive laparoscopic surgery. We reviewed the current role of robotic-assisted laparoscopy in the field of reproductive surgery by a literature search in PubMed database. We analyzed the reported advantages and limitations of the use of robotics in reproductive surgeries like myomectomy, tubal reanastomosis, endometriosis, ovarian tissue cryopreservation, and ovarian transposition. Overall, robotic assistance in reproductive surgery resulted in decreased blood loss, less post-operative pain, shorter hospital stay, and faster convalescence, whereas reproductive outcomes were similar to open/laparoscopic approaches. The main drawbacks of robotic surgery were higher cost and longer operating times. It is as safe and effective as the conventional laparoscopy and represents a reasonable alternate to abdominal approach. Procedures that are technically challenging with the conventional laparoscopy can be performed with robotic assistance. It has advantages of improved visualization and Endowrist™ movements allowing precise suturing. This helps to overcome the limitations of laparoscopy, especially in complicated procedures, and may shorten the steep learning curve in minimal invasive surgery. Randomized controlled trials looking at both short- and long-term outcomes are warranted to strengthen the role of robotic surgery in the field of reproductive surgery.
摘要：
机器人手术是传统开放手术和微创腹腔镜手术的概念融合。通过PubMed数据库中的文献检索，我们回顾了机器人辅助腹腔镜在生殖外科领域的当前作用。我们分析了在子宫肌瘤切除术等生殖手术中使用机器人技术的优势和局限性，输卵管再吻合,子宫内膜异位症,卵巢组织冷冻保存，和卵巢移位。总的来说,生殖手术中的机器人辅助导致失血减少，术后疼痛减轻，住院时间缩短,更快的康复，而生殖结局与开放/腹腔镜方法相似。机器人手术的主要缺点是成本较高和手术时间较长。它与常规腹腔镜一样安全有效，是腹部手术的合理替代方法。利用常规腹腔镜检查技术上具有挑战性的程序可以在机器人辅助下执行。它具有改进的可视化和Endowrist™运动允许精确缝合的优点。这有助于克服腹腔镜检查的局限性，尤其是在复杂的程序中，并可能缩短微创手术中陡峭的学习曲线。有必要对短期和长期结果进行随机对照试验，以加强机器人手术在生殖手术领域的作用。
