Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
Curr Opin Oncol. 2012 Jan;24(1):7-15. doi: 10.1097/CCO.0b013e32834cb813.
To describe refinements in surgical techniques using robotic thyroidectomy and robotic modified radical neck dissection (MRND), and to discuss the impact of such developments on thyroid cancer management, from oncological, functional, and surgical viewpoints.
From 2009 to present, 23 reports, including three multicenter trials, on the conduct of robotic thyroid surgery via a gasless transaxillary approach appeared. Twenty-two studies discussed robotic thyroidectomy, whereas one described robotic MRND. These clinical studies showed that robotic surgery afforded identical or superior levels of surgical radicality and oncologic safety compared to use of conventional open or endoscopic surgery in patients with thyroid carcinomas. In such patients, the clinical benefits of robotic thyroidectomy include excellent cosmetic results, reduced pain, improvement in swallowing function, and low morbidity rates. From the viewpoint of surgeons, robotic surgery shortens the surgical learning curve, and causes less musculoskeletal discomfort compared with the conduct of open or endoscopic surgery.
The accumulated evidence to date suggests that robotic thyroidectomy and MRND can benefit both patients and surgeons.
描述使用机器人甲状腺切除术和机器人改良根治性颈清扫术（MRND）的手术技术改进，并从肿瘤学、功能和手术角度讨论这些进展对甲状腺癌管理的影响。
自 2009 年至今，已经有 23 篇报道，包括三项多中心试验，介绍了经无气经腋窝入路进行机器人甲状腺手术的方法。其中 22 项研究讨论了机器人甲状腺切除术，而有 1 项研究描述了机器人 MRND。这些临床研究表明，与传统的开放式或内镜式手术相比，机器人手术在甲状腺癌患者中提供了相同或更高水平的手术根治性和肿瘤安全性。在这些患者中，机器人甲状腺切除术的临床获益包括出色的美容效果、减轻疼痛、改善吞咽功能和较低的发病率。从外科医生的角度来看，与开放式或内镜式手术相比，机器人手术缩短了手术学习曲线，并且引起的肌肉骨骼不适更少。
迄今为止积累的证据表明，机器人甲状腺切除术和 MRND 可以使患者和外科医生都受益。
