Noureldine Salem I, Yao Lu, Wavekar Rohan R, Mohamed Salah, Kandil Emad
Division of Endocrine and Oncological Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, La., USA.
ORL J Otorhinolaryngol Relat Spec. 2013;75(6):350-6. doi: 10.1159/000354266. Epub 2014 Jan 22.
Graves' disease (GD) is considered a relative contraindication for endoscopic approaches to the thyroid gland, due to a larger gland size and increased vascularity.
A retrospective analysis of a single surgeon's experience was performed. We included all patients who underwent thyroidectomy for the treatment of GD over a 3-year period.
Twenty-five patients with GD were identified. Twelve of them underwent robotic thyroidectomy and 13 patients underwent conventional thyroidectomy. Age, gender, and BMI were similar in both groups (p > 0.05). The conventional approach allowed for resection of larger thyroid volumes (147.3 ± 153.6 ml), as compared to the robotic approach (62.3 ± 47.8 ml, p = 0.08). The average total operative times were similar in both groups (p = 0.98). There was no difference with respect to intraoperative blood loss (p = 0.49), duration of hospital stay (p = 0.38), and complication rates (p = 0.99).
Robotic thyroidectomy is feasible and can be safely performed in appropriately selected patients with GD.
由于甲状腺体积较大且血管增多，格雷夫斯病（GD）被认为是甲状腺内镜手术的相对禁忌证。
对一位外科医生的经验进行回顾性分析。我们纳入了在3年期间因治疗GD而接受甲状腺切除术的所有患者。
确定了25例GD患者。其中12例接受了机器人甲状腺切除术，13例患者接受了传统甲状腺切除术。两组患者的年龄、性别和BMI相似（p>0.05）。与机器人手术方法相比（62.3±47.8 ml，p = 0.08），传统手术方法可切除更大体积的甲状腺（147.3±153.6 ml）。两组的平均总手术时间相似（p = 0.98）。术中失血量（p = 0.49）、住院时间（p = 0.38）和并发症发生率（p = 0.99）方面无差异。
机器人甲状腺切除术是可行的，并且可以在适当选择的GD患者中安全进行。
