机器人耳后甲状腺切除术的综合应用：机器人甲状腺切除术的进展
Comprehensive application of robotic retroauricular thyroidectomy: The evolution of robotic thyroidectomy.
作者信息
Byeon Hyung Kwon, Kim Da Hee, Chang Jae Won, Ban Myung Jin, Park Jae Hong, Kim Won Shik, Choi Eun Chang, Koh Yoon Woo
机构信息
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon, Republic of Korea.
出版信息
Laryngoscope. 2016 Aug;126(8):1952-7. doi: 10.1002/lary.25763. Epub 2015 Nov 3.
OBJECTIVES/HYPOTHESIS: As an evolvement of the robotic application to the thyroidectomy, we sought to seek the potential role of robotic thyroidectomy with the retroauricular (RA) approach prior to future comparative study between RA and transaxillary thyroidectomy. This study aims to verify the surgical feasibility of robotic RA thyroidectomy.
STUDY DESIGN
Case series with planned data collection.
METHODS
A total of 87 patients who underwent robotic RA thyroidectomy for clinically suspicious papillary thyroid carcinoma or benign lesions from January 2013 to May 2014 were retrospectively reviewed and analyzed.
RESULTS
All robotic surgeries via RA approach were successfully performed, without any significant intraoperative complications or conversion to open surgery. Based on patient-reported outcome questionnaires, all patients were satisfied with their postoperative surgical scars.
CONCLUSION
Robotic RA thyroidectomy is technically feasible and safe, with satisfactory cosmetic results for patients where indicated.
LEVEL OF EVIDENCE
- Laryngoscope, 126:1952-1957, 2016.
目的/假设：作为机器人技术在甲状腺切除术中应用的一种发展，在未来进行耳后（RA）入路与经腋窝甲状腺切除术的比较研究之前，我们试图探寻机器人辅助耳后入路甲状腺切除术的潜在作用。本研究旨在验证机器人辅助耳后入路甲状腺切除术的手术可行性。
研究设计
带有计划数据收集的病例系列研究。
方法
回顾性分析2013年1月至2014年5月期间因临床怀疑为甲状腺乳头状癌或良性病变而接受机器人辅助耳后入路甲状腺切除术的87例患者。
结果
所有通过耳后入路的机器人手术均成功完成，术中无任何严重并发症，也未转为开放手术。根据患者报告的结果问卷，所有患者对术后手术瘢痕均感到满意。
结论
机器人辅助耳后入路甲状腺切除术在技术上是可行且安全的，在适应证合适的患者中可获得令人满意的美容效果。
证据级别
4级。《喉镜》，2016年，第126卷，第1952 - 1957页。
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