Greer Albergotti W, Kenneth Byrd J, De Almeida John R, Kim Seungwon, Duvvuri Umamaheswar
Veterans Affairs Pittsburgh Health System, Pittsburgh, PA, USA.
Int J Med Robot. 2014 Dec;10(4):391-6. doi: 10.1002/rcs.1585. Epub 2014 Apr 23.
Cosmesis is of increasing importance to the otolaryngology patient population. This is the first report of clinical outcomes of robot-assisted neck dissection by North American groups.
This is a retrospective case-control study. Cases included three patients who underwent isolated, ipsilateral robot-assisted neck dissection. Operative time, estimated blood loss, lymph node retrieval, total drainage, hospital stay and complications from this group were compared against the outcomes of six consecutive patients who underwent conventional neck dissection.
Operative times were longer in robot-assisted neck dissection (mean 234 min) compared with the conventional neck dissection (mean 110 min). There were no significant differences between the two groups in other outcomes.
Robot-assisted selective neck dissection of levels II-IV is feasible through a modified facelift incision. Our initial data suggest that this procedure is surgically sound. It should be applied by experienced surgeons who wish to avoid a cervical incision.
美容对耳鼻喉科患者群体越来越重要。这是北美团队关于机器人辅助颈部清扫术临床结果的首份报告。
这是一项回顾性病例对照研究。病例包括3例行孤立性同侧机器人辅助颈部清扫术的患者。将该组患者的手术时间、估计失血量、淋巴结切除数量、总引流量、住院时间及并发症与连续6例行传统颈部清扫术患者的结果进行比较。
与传统颈部清扫术（平均110分钟）相比，机器人辅助颈部清扫术的手术时间更长（平均234分钟）。两组在其他结果方面无显著差异。
通过改良的面部提升切口对Ⅱ-Ⅳ区进行机器人辅助选择性颈部清扫术是可行的。我们的初步数据表明该手术在外科方面是合理的。希望避免颈部切口的经验丰富的外科医生应采用此方法。
