Abstract：
Five to 20% of women regret having a tubal ligation. These women are generally otherwise fertile and have a better chance of pregnancy than other patients experiencing infertility, whether by in vitro fertilization or after tubal surgery. Historically, tubal anastomosis surgery has long been performed by microsurgery through laparotomy, which provided very high precision but was associated with some degree of morbidity. The parallel development of in vitro fertilization and laparoscopy have contributed to reducing the indications for tubal surgery. The laparoscopic approach is challenging because of the number and precision of the sutures needed. The robot-assisted laparoscopic approach may reduce the surgical difficulty and improve the accessibility of this technique. We have described the technique of tubo-tubal reanastomosis after sterilization with robot-assisted laparoscopy in 10 steps. Robot-assisted laparoscopy provides favourable conditions for performing tubo-tubal reanastomosis after sterilization due to the camera stability, precision of movement, and amplitude of articulations.
摘要：
5％至20％的女性后悔进行输卵管结扎术。这些妇女通常在其他方面具有生育能力，并且比其他经历不孕症的患者有更好的怀孕机会，无论是体外受精还是输卵管手术后。历史上,输卵管吻合术长期以来一直通过剖腹手术进行显微外科手术，这提供了非常高的精度，但与一定程度的发病率有关。体外受精和腹腔镜的并行发展有助于减少输卵管手术的适应症。由于所需缝合线的数量和精度，腹腔镜方法具有挑战性。机器人辅助腹腔镜方法可以降低手术难度并改善该技术的可及性。我们已经描述了10步机器人辅助腹腔镜灭菌后输卵管再吻合的技术。由于摄像机的稳定性，机器人辅助腹腔镜为灭菌后进行输卵管再吻合提供了有利条件。运动的精度，和关节的振幅。
