Department of Otolaryngology, Singapore General Hospital, Singapore.
Lancet Oncol. 2010 Mar;11(3):281-6. doi: 10.1016/S1470-2045(09)70379-1.
Minimally invasive surgery has been adopted in many areas of surgery to reduce patient morbidity during surgical resection. To achieve this, endoscopic instrumentation coupled with improved imaging and localisation techniques have been developed, to enable adequate resection of tumours with minimum damage to surrounding tissues. We review two emerging technologies, robotic assisted surgery and intraoperative imaging. We also discuss two fields of head and neck surgery, skull-base tumour resection and thyroidectomy, where the application of minimally invasive endoscopic techniques has been widely applied, and review their results.
微创手术已在许多外科领域被采用，以降低手术切除过程中患者的发病率。为此，开发了内镜仪器以及改进的成像和定位技术，以便在对周围组织造成最小损伤的情况下，充分切除肿瘤。我们回顾了两种新兴技术，机器人辅助手术和术中成像。我们还讨论了头颈部手术中的两个领域，颅底肿瘤切除和甲状腺切除术，其中广泛应用了微创内镜技术，并回顾了它们的结果。
