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目的:总结采用机器人辅助腹腔镜下切除前列腺小囊并同期行精道重建的临床经验。方法:回顾性分析2019年7月至2019年9月收治的5例反复出现附睾炎和尿路感染的尿道下裂术后患儿的临床资料。本组年龄为(47.2±42.2)个月，均行泌尿系统超声和排尿造影明确前列腺小囊存在，并采用机器人辅助腹腔镜下切除前列腺小囊并同期行精道重建术。术后均行泌尿系统超声及小便常规检查。结果:5例患儿手术均获得成功，手术时间为(133.0±77.1)min，无中转开放手术及术中并发症发生。随访4～6个月，本组未再出现反复附睾炎和尿路感染等术后并发症。结论:机器人辅助腹腔镜下切除前列腺小囊并同期行精道重建安全有效，但精道通畅性和成年后的生育率仍需要更长期的随访和数据支持。“,”Objective:To summarize the clinical experiences of removing prostatic utricle cyst and seminal reconstruction with robotic-assisted laparoscopy.Methods:From July 2019 to September 2019, five children with recurrent epididymitis and urinary tract infection after hypospadias repair were analyzed retrospectively. The average age was (47.2±42.2) months. Urinary ultrasound and voiding cystourethrogram (VCUG) were performed for confirming the presence of prostatic utricle cyst. And removing prostatic utricle cyst and seminal reconstruction were performed simultaneously. After operation, ultrasonography of urinary system and routine urinalysis were performed.Results:The follow-up period was (4-6) months. All procedures were successful without any intraoperative complication or any conversion into open surgery. The average operative duration was (133.0±77.1) min. There was no onset of such postoperative complications as recurrent epididymitis or urinary tract infection.Conclusions:It is both safe and effective to resect prostatic utricle cyst and reconstruct seminal tract simultaneously with robotic-assisted laparoscopy. However, the patency of seminal tract and fertility rate in adulthood should be verified by longer term of follow-ups and data supports.