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机器人辅助选择性颈清扫术联合腮腺癌改良腮腺切除术

Robot-assisted selective neck dissection combined with facelift parotidectomy in parotid cancer.

作者信息

Shin Yoo Seob, Choi Eun Chang, Kim Chul-Ho, Koh Yoon Woo

机构信息

Department of Otolaryngology, Ajou University School of Medicine, Suwon, Republic of Korea.

出版信息

Head Neck. 2014 Apr;36(4):592-5. doi: 10.1002/hed.23441. Epub 2014 Jan 30.

DOI:10.1002/hed.23441
PMID:23929700
Abstract

BACKGROUND

Robot-assisted neck dissection in patients with head and neck cancer has been demonstrated to be feasible. We conceived a surgical technique of surgery for parotid cancer with the robotic system via a gasless modified facelift (MFL) approach. A detailed surgical technique is provided.

METHODS

In a 28-year-old female patient with parotid cancer, the disease was treated with primary tumor resection with robotic selective neck dissection I to III via an MFL incision.

RESULTS

Robot-assisted selective neck dissection I to III combined with primary tumor resection was successfully conducted without any significant intraoperative complication, applying additional incision, or conversion to open conventional neck dissection. Videographic demonstration of the robotic-assisted neck dissection is included.

CONCLUSION

Robot-assisted surgery via the MFL approach is a feasible and useful method with excellent cosmetic results for the surgical treatment in selected cases of parotid gland cancer.

摘要

背景

机器人辅助下的头颈癌患者颈部清扫术已被证明是可行的。我们构思了一种通过无气改良面部提升(MFL)入路,使用机器人系统进行腮腺癌手术的技术。本文提供了详细的手术技术。

方法

一名28岁的腮腺癌女性患者,通过MFL切口,采用机器人辅助的I至III区选择性颈部清扫术对原发肿瘤进行切除治疗。

结果

成功实施了机器人辅助的I至III区选择性颈部清扫术并联合原发肿瘤切除术,术中无任何重大并发症,无需额外切口,也未转为开放的传统颈部清扫术。文中还包括机器人辅助颈部清扫术的视频演示。

结论

对于部分腮腺癌病例,通过MFL入路的机器人辅助手术是一种可行且有用的方法,具有出色的美容效果。

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