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机器人辅助挽救性声门上喉切除术

Robotic-assisted salvage supraglottic laryngectomy.

作者信息

Pérez-Mitchell Carlos, Acosta Jaime A, Ferrer-Torres Luis E

出版信息

P R Health Sci J. 2014 Jun;33(2):88-90.

Abstract

Traditional open surgery has historically been the standard approach to treating many head and neck conditions. The introduction of the first robot into the surgical world in 1985 has been a keystone in the development of minimally invasive surgical (MIS) techniques. Transoral robotic surgery (TORS) is a minimally invasive technique used for the treatment of head and neck pathologies, including benign and malignant lesions. When performed in select patients, TORS offers low post-operative morbidity, along with very few functional and cosmetic compromises. Herein, we present the first TORS supraglottic partial laryngectomy performed in Puerto Rico or in any region in Latin America. A 68-year-old male who had previously undergone radiation therapy presented with hoarseness and weight loss. A suspension microlaryngoscopy showed a lesion of the left false vocal cord; a biopsy was performed. The patient was diagnosed with a supraglottic squamous cell carcinoma (T2N0M0); the tumor was completely excised using TORS. No post-operative complications occurred.

摘要

传统的开放手术在历史上一直是治疗许多头颈疾病的标准方法。1985年第一台机器人引入外科领域,这是微创外科(MIS)技术发展的一个关键转折点。经口机器人手术(TORS)是一种用于治疗头颈疾病的微创技术,包括良性和恶性病变。在特定患者中进行TORS手术时,术后发病率低,功能和美观方面的影响也极小。在此,我们展示了在波多黎各或拉丁美洲任何地区进行的首例TORS声门上部分喉切除术。一名68岁男性,此前接受过放射治疗,出现声音嘶哑和体重减轻症状。悬吊式显微喉镜检查显示左侧假声带病变;进行了活检。患者被诊断为声门上鳞状细胞癌(T2N0M0);使用TORS将肿瘤完全切除。未发生术后并发症。

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