甲状腺乳头状癌的机器人甲状腺手术：连续100例手术的经验教训
Robotic thyroid surgery for papillary thyroid carcinoma: lessons learned from 100 consecutive surgeries.
作者信息
Lee Hye Yoon, Yang In Soo, Hwang Seong Bae, Lee Jae Bok, Bae Jeoung Won, Kim Hoon Yub
机构信息
Department of Surgery, Korea University College of Medicine, Seoul, Korea.
出版信息
Surg Laparosc Endosc Percutan Tech. 2015 Feb;25(1):27-32. doi: 10.1097/SLE.0b013e3182a2b0ae.
PURPOSE
To evaluate the feasibility and safety of robotic thyroidectomy using the da Vinci surgical system.
PATIENTS AND METHODS
Between July 2008 and April 2011, the data revealed an initial series of 100 consecutive patients who underwent robotic thyroidectomy with the da Vinci-S surgical system using the bilateral axillo-breast approach for thyroid cancer. Prospectively collected data were analyzed retrospectively.
RESULTS
There were 88 cases of total thyroidectomy, 11 cases of lobectomy, and 1 case of total thyroidectomy with modified radical neck dissection. There was no conversion. The mean total operation time was 287.15±45.19 minutes for total thyroidectomy and 236.27±48.98 minutes for lobectomy. Nineteen patients experienced transient hypocalcemia and 3 patients experienced transient vocal fold palsy. All of the patients recovered within 3 months.
CONCLUSIONS
Robotic thyroid surgery for patients with thyroid malignancy is safe and results in fewer postoperative complications than open thyroid surgery.
目的
评估使用达芬奇手术系统进行机器人甲状腺切除术的可行性和安全性。
患者与方法
在2008年7月至2011年4月期间，数据显示最初有100例连续患者使用达芬奇-S手术系统通过双侧腋窝-乳房入路接受机器人甲状腺切除术治疗甲状腺癌。对前瞻性收集的数据进行回顾性分析。
结果
全甲状腺切除术88例，甲状腺叶切除术11例，全甲状腺切除术加改良根治性颈清扫术1例。无中转开腹手术。全甲状腺切除术的平均总手术时间为287.15±45.19分钟，甲状腺叶切除术为236.27±48.98分钟。19例患者出现短暂性低钙血症，3例患者出现短暂性声带麻痹。所有患者均在3个月内康复。
结论
对于甲状腺恶性肿瘤患者，机器人甲状腺手术是安全的，且术后并发症比开放性甲状腺手术少。
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