Tae Kyung, Ji Yong Bae, Song Chang Myeon, Min Hyun Jung, Lee Seung Hwan, Kim Dong Sun
Departments of *Otolaryngology-Head and Neck Surgery †Internal Medicine, College of Medicine, Hanyang University, Seongdong-gu, Seoul, Korea.
Surg Laparosc Endosc Percutan Tech. 2014 Aug;24(4):e128-32. doi: 10.1097/SLE.0b013e3182a4bfa1.
The aim of this study was to determine the technical feasibility and intraoperative safety of robotic lateral neck dissection in differentiated thyroid carcinoma (DTC). We analyzed 12 patients with DTC who underwent robotic total thyroidectomy and lateral selective neck dissection by a gasless unilateral axillobreast approach. The procedure was completed successfully in all patients. The mean console time for robotic lateral neck dissection was 54.2 ± 21.5 minutes. Transient hypoparathyroidism occurred in 5 patients, and transient recurrent laryngeal nerve palsy and chyle leak occurred in 1 patient each. Cosmetic satisfaction was excellent in all patients. Robotic lateral neck dissection by a gasless unilateral axillobreast approach for DTC is feasible and safe and allows for excellent postoperative cosmesis in preliminary results. Further studies are needed to establish oncologic safety and surgical completeness compared with conventional neck dissection.
本研究的目的是确定机器人辅助下侧颈清扫术在分化型甲状腺癌（DTC）中的技术可行性和术中安全性。我们分析了12例接受机器人辅助全甲状腺切除术及经无气单侧腋窝乳房入路行侧颈选择性清扫术的DTC患者。所有患者手术均成功完成。机器人辅助下侧颈清扫术的平均控制台操作时间为54.2±21.5分钟。5例患者发生短暂性甲状旁腺功能减退，1例患者发生短暂性喉返神经麻痹，1例患者发生乳糜漏。所有患者对美容效果的满意度均为优秀。初步结果表明，经无气单侧腋窝乳房入路行机器人辅助下侧颈清扫术治疗DTC是可行且安全的，术后美容效果良好。与传统颈清扫术相比，还需要进一步研究以确定其肿瘤学安全性和手术彻底性。
