title: Robot-assisted tubal reanastomosis: initial experience in a single institution.
abstract: OBJECTIVE
  To assess surgical outcomes for robot-assisted tubal reanastomosis in a single institution.
  
  
  METHODS
  Between March 2009 and January 2010, 10 patients underwent robot-assisted tubal ligation reversal (TLR) with a da Vinci S surgical system. Patient demographic data, including operative times, operative and postoperative complications, hospital stay, conversion to laparotomy and pregnancy rates were recorded.
  
  
  RESULTS
  Mean age and body mass index for the patients were 37.7 (35-42) years and 28.9 (23.9-36.3) kg/m(2), respectively. The mean console time was 102.5 min and the mean total operation time was 130.6 (102-164) min. The mean hospital stay was 1.2 (1-2) days. There were no significant intra-operative or early-postoperative complications. All surgeries were completed robotically with no conversion to laparotomy. There were seven subsequent pregnancies in the study participants, representing a pregnancy rate of 70%, of which five were intrauterine pregnancies, one was an ectopic pregnancy, and one was an abortus.
  
  
  CONCLUSIONS
  Robot-assisted TLR is safe and feasible. This procedure may facilitate minimally invasive treatment for patients who want to regain their fertility without the aid of artificial reproductive techniques.
authors.affiliation: Department of Obstetrics and Gynecology, Ümraniye Teaching and Research Hospital, Istanbul, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Göçmen
authors.forename: Fatih
authors.initials: F
authors.lastname: Sanlıkan
authors.forename: Mustafa Gazi
authors.initials: MG
authors.lastname: Uçar
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D061646:Operative Time; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D012371:Robotics; D013243:Sterilization Reversal / Q000379:methods*