Ishikawa Norihiko, Kawaguchi Masahiko, Moriyama Hideki, Shimada Masanari, Watanabe Go
From the Department of General and Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.
Innovations (Phila). 2013 Sep-Oct;8(5):384-8. doi: 10.1097/IMI.0000000000000025.
We performed gasless transaxillary robot-assisted thyroidectomy with a novel camera-port retractor (CP retractor). Herein, we describe the new instrument and its efficacy, which was evaluated by performing robot-assisted thyroidectomy. From October 2009 to August 2012, a total of 12 patients underwent robot-assisted thyroidectomy using the da Vinci Surgical System. The CP retractor was used in all cases, and we use the Maryland bipolar forceps and the microbipolar forceps on both arms for dissection of the surrounding tissues as well as for cutting and coagulation to avoid injury to the vessels and the nerves. The CP retractor provided excellent visualization without robotic arm instrument interference. The novel retractor is useful and safe, and the use of bipolar instruments is an effective option for robotic dissection around the nerves in the robot-assisted thyroidectomy.
我们使用一种新型摄像端口牵开器（CP牵开器）进行了非气腹经腋窝机器人辅助甲状腺切除术。在此，我们描述这种新器械及其疗效，其疗效通过进行机器人辅助甲状腺切除术来评估。2009年10月至2012年8月，共有12例患者使用达芬奇手术系统接受了机器人辅助甲状腺切除术。所有病例均使用了CP牵开器，我们在双臂上使用马里兰双极钳和微型双极钳来解剖周围组织以及进行切割和凝血，以避免损伤血管和神经。CP牵开器提供了极佳的视野，且不受机器人手臂器械的干扰。这种新型牵开器有用且安全，在机器人辅助甲状腺切除术中，使用双极器械是在神经周围进行机器人解剖的一种有效选择。
