机器人辅助甲状腺切除术：早期经验。
Robot-assisted thyroidectomy: early experience.
机构信息
Department of Otorhinolaryngology, Head and Neck Surgery, Dong-A University College of Medicine, Busan, Korea.
出版信息
Arch Iran Med. 2012 Aug;15(8):488-90.
BACKGROUND
The numbers of thyroid surgeries have been increasing recently. Robot-assisted thyroidectomy allows for a better cosmetic outcome in comparison with conventional open thyroidectomy.
METHODS
We performed two robot-assisted endoscopic thyroidectomies by a gasless unilateral axillo-breast approach using the da Vinci surgical robot system.
RESULTS
We performed right thyroid lobectomies in both patients. The pathologic reports were: micropapillary carcinoma without extracapsular invasion in patient 1 and a benign cyst in patient 2. The operation times were 165 minutes in patient 1 and 110 minutes in patient 2. No postoperative complications occurred.
CONCLUSION
Regarding our early experience, robotic thyroidectomy using the gasless axillo-breast approach is a safe, feasible, and cosmetically good procedure.
背景
最近甲状腺手术的数量一直在增加。与传统的开放式甲状腺切除术相比，机器人辅助甲状腺切除术可以获得更好的美容效果。
方法
我们使用达芬奇手术机器人系统通过无气单侧腋窝-乳房入路进行了两例机器人辅助内镜甲状腺切除术。
结果
我们为两名患者均进行了右侧甲状腺叶切除术。病理报告显示：患者 1 为无包膜外侵犯的微乳头状癌，患者 2 为良性囊肿。手术时间分别为患者 1 的 165 分钟和患者 2 的 110 分钟。无术后并发症发生。
结论
就我们的早期经验而言，使用无气腋窝-乳房入路的机器人甲状腺切除术是一种安全、可行且美容效果良好的手术。
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