{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T05:58:42Z","timestamp":1780466322590,"version":"3.54.1"},"reference-count":17,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Tubal anastomosis has similar pregnancy rates regardless of approach. Historically, robotic anastomosis has been associated with increased cost and operative time. We sought to perform a contemporary study of these metrics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred and nine patients were identified who underwent robotic\u2010assisted laparoscopic tubal anastomosis. Retrospective analysis of medical records was performed. Phone survey was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean operative time decreased from 140.7 \u00b1 27.0 min in 2013 to 60.0 \u00b1 9.1 min in 2018, with significant downward trend (<jats:italic>p<\/jats:italic> &lt; 0.001). The mean cost was $7153.46 \u00b1 $1484.41. The pregnancy rate was 59% (35\/59), and tubal patency rate was 81% (42\/52). Seventy\u2010two percent of patients under 37 years became pregnant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is significant improvement in operative time of robotic\u2010assisted tubal anastomosis with surgical experience. Robotic tubal anastomosis outperformed historical metrics of laparoscopy and laparotomy with regard to operative time and cost in this series.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2155","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T14:38:30Z","timestamp":1598625510000},"page":"1-5","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Robotic\u2010assisted laparoscopic tubal anastomosis: Single institution analysis"],"prefix":"10.1002","volume":"16","author":[{"given":"Ali","family":"Ghomi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Sisters of Charity Hospital  Buffalo New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7056-8337","authenticated-orcid":false,"given":"William","family":"Nolan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology 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