Robotically assisted laparoscopic microsurgical tubal reanastomosis: a retrospective study

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• 作者：Martin Caillet ; Jean V ; romme ; Serge Rozenberg ; Marianne Paesmans ; Olivier Germay ; Michel Degueldre
• 关键词：Robot ; laparoscopy ; microsurgery ; tubal anastomosis
• 刊名：Fertility and Sterility
• 出版年：2010
• 出版时间：October 2010
• 年：2010
• 卷：94
• 期：5
• 页码：1844-1847
• 全文大小：113 K

文摘

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.