ROBOT ASSISTED PERFORMANCES IN ANDROLOGY

Czech version

Authors: Milan Čermák ¹; Jiří Kočárek ^1,2; Jiří Heráček ^1,2
Authors‘ workplace: Urologické oddělení, Ústřední vojenská nemocnice – Vojenská fakultní nemocnice Praha ¹; Urologická klinika, 1. lékařská fakulta, Univerzita Karlova v Praze ²
Published in: Ces Urol 2016; 20(2): 104-112
Category: Review article

Overview

In four years, it will be exactly 100 years since Karel Čapek used the word ‘robot’ in his famous drama, R.U.R. for the first time. In this period of time this bare abstrakt idea became widely used in various industries. We consider 1999 as a milestone for using a robot in human medicine, when the first robot-assisted operation was performed using daVinci system by the American company, Intuitive Surgical. The first robot-assisted surgery in Urology, a radical prostatectomy, was compleated in 2000. The undisputed advantages of the robotic platform are elimination of the operator’s hand tremor, better stability, seven degree of free instrument movement, multi-screen visualization –⁠ projection up to three images simultaneously, high-resolution image, enlargement of the operating field and posibility of manipulation with three surgical instruments and the camera all at once. These benefits made the inclusion of robot-assisted surgery into microsurgery inevitable and the robotic platform is considered to be as a suitable replacement for the operating microscope, which enabled this department to being formed after 1970. This review article summarizes the basic robot-assisted operations in andrological microsurgery, concretely a vasovasostomy, vasoepididymostomy, targeted denervation of the spermatic cord, varicocelectomy and testicular sperm extraction.

Key words:
Chronic orchialgia, robotic assisted surgery, vasectomy reversal, vasoepididymostomy, vasovasostomy.

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