3D digital image microscope system-assisted vasovasostomy and vasoepididymostomy in rats

• 作者: Peng Li Na-Chuan Liu Er-Lei Zhi Chen-Cheng Yao Zhi-Liang Zhao Zhi-Yong Yu Qi-Meng Li Yu-Hua Huang Jie-Chang Ju Wen-Bin Huang Husanjan Rozi Zhi-Yong Ji San-Wei Guo Ru-Hui Tian Zheng Li
• 来源期刊: 亚洲男性学杂志（英文版）
• 年，卷（期）: 2021,（4）
• 所属期刊栏目: ORIGINAL ARTICLE
• 页码范围: 396-399
• 页数: 4页
• 语种: 英文
• DOI: 10.4103/aja.aja_94_20

摘要

Optimal vision and ergonomics are essential factors contributing to the achievement of good results during microsurgery.The three-dimensional(3D)digital image microscope system with a better 3D depth of field can release strain on the surgeon's neck and back,which can improve outcomes in microsurgery.We report a randomized prospective study of vasoepididymostomy and vasovasostomy using a 3D digital image microscope system(3D-DIM)in rats.A total of 16 adult male rats were randomly divided into two groups of 8 each:the standard operating microscope(SOM)group and the 3D-DIM group.The outcomes measured included the operative time,real-time postoperative mechanical patency,and anastomosis leakage.Furthermore,a user-friendly microscope score was designed to evaluate the ergonomic design and equipment characteristics of the microscope.There were no differences in operative time between the two groups.The real-time postoperative mechanical patency rates were 100.0％for both groups.The percentage of vasoepididymostomy anastomosis leakage was 16.7％in the SOM group and 25.0％in the 3D-DIM group;however,no vasovasostomy anastomosis leakage was found in either group.In terms of the ergonomic design,the 3D-DIM group obtained better scores based on the surgeon's feelings;in terms of the equipment characteristics,the 3D-DIM group had lower scores for clarity and higher scores for flexibility and adaptivity.Based on our randomized prospective study in a rat model,we believe that the 3D-DIM can improve surgeon comfort without compromising outcomes in male infertility reconstructive microsurgery,so the 3D-DIM might be widely used in the future.