Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study

作者：Caillet Martin^*; Vandromme Jean; Rozenberg Serge; Paesmans Marianne; Germay Olivier; Degueldre Michel

来源：Fertility and Sterility, 2010, 94(5): 1844-1847.

DOI：10.1016/j.fertnstert.2009.10.028

• Robot
• laparoscopy
• microsurgery
• tubal anastomosis

Objective: To evaluate the pregnancy and delivery outcome of robot-assisted tubal reanastomosis.
Design: Retrospective cohort study.
Setting: University hospital.
Patient(s): Ninety-seven patients with available follow-up who underwent the reversal of tubal ligation, with a median age of 37 years (range, 24-47 years).
Intervention(s): Tubal reanastomosis by robot-assisted laparoscopy.
Main Outcome Measure(s): Analysis of the distribution of time to conception and to estimate the crude pregnancy and birth rates at 2 years.
Result(s): The overall pregnancy and birth rates were 71%, (95% confidence interval [CI], 61%-80%) and 62% (95% CI, 52%-72%). Ninety-one percent (95% CI, 76%-98%) of patients <35 years old became pregnant, and 88% (95% CI, 72%-97%) delivered at least once. The corresponding pregnancy and delivery rates were 75% (95% CI, 57%-89%) and 66% (95% CI, 47%-81%) between 36 and 39 years old, 50% (95% CI, 25%-75%) and 43.8% (95% CI, 20%-70%) between 40 and 42 years old, 33% (95% CI, 10%-65%) and 8.3% (95% CI, <1%-38%) after the age of 43 years.
Conclusion(s): This study reports satisfactory birth rates after tubal reanastomosis by robot-assisted laparoscopy in patients aged 40 years or less. (Fertil Steril (R) 2010;94:1844-7.