Pellini R, Mercante G, Ruscito P, Cristalli G, Spriano G
Department of Otolaryngology, Head and Neck Surgery, "Regina Elena" National Cancer Institute, Rome, Italy.
Acta Otorhinolaryngol Ital. 2013 Oct;33(5):343-6.
Multinodular goiter in lingual thyroid is quite rare. Surgical removal is indicated in symptomatic patients and when cancer is suspected. An external approach is most often used, but is associated with morbidity and sequelae. In this study, we present for the first time the technique of transoral robotic surgery (TORS) for removal of a massive lingual goiter. Prospective patient data were collected, including demographics, medical history, symptoms, comorbidities and drugs prescribed. The da Vinci Surgical System was used for a transoral approach to the oropharynx. The technique was validated in a 31-year-old woman with signs and symptoms of multinodular goiter presenting since childhood. The procedure required 115 min, with intervals as follows: tracheotomy, 25 min; robot setting time, 20 min; and console time, 70 min. TOR S is feasible in cases of multinodular goiter in a lingual thyroid. The procedure appears to be safe, with quick recovery of swallowing and speech.
舌甲状腺中的多结节性甲状腺肿相当罕见。有症状的患者以及怀疑有癌症时，建议进行手术切除。最常采用外部入路，但会伴有发病率和后遗症。在本研究中，我们首次展示了经口机器人手术（TORS）切除巨大舌甲状腺肿的技术。收集了前瞻性患者数据，包括人口统计学、病史、症状、合并症和所开药物。达芬奇手术系统用于经口进入口咽。该技术在一名自童年起就有多结节性甲状腺肿体征和症状的31岁女性中得到验证。该手术耗时115分钟，时间间隔如下：气管切开术25分钟；机器人设置时间20分钟；控制台操作时间70分钟。TORS对于舌甲状腺中的多结节性甲状腺肿病例是可行的。该手术似乎是安全的，吞咽和言语功能恢复迅速。
