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经口机器人手术切除异位舌根甲状腺

Transoral robotic resection of an ectopic tongue-base thyroid gland.

作者信息

Dallan Iacopo, Montevecchi Filippo, Seccia Veronica, Vicini Claudio, Segnini Giovanni, Casani Augusto Pietro, Sellari-Franceschini Stefano

机构信息

ENT Unit, Azienda Ospedaliero Universitaria Pisana, Via Paradisa, 2, Pisa, Italy.

Department of Special Surgery, ENT and Oral Surgery Unit, Ospedale Morgagni Pietrantoni-University of Pavia, Forlì, Italy.

出版信息

J Robot Surg. 2013 Mar;7(1):83-6. doi: 10.1007/s11701-012-0382-z. Epub 2012 Sep 19.

Abstract

Lingual thyroid is an uncommon condition, often asymptomatic. Given its benign nature, every treatment should be well balanced in terms of advantages and local morbidity. When a treatment is planned, medical and surgical therapy should be weighed against each other. Among surgical options, robotic techniques offer several advantages compared to traditional transoral procedures and external approaches, in terms of ability of resection, morbidity and quality of life. Here we present the case of a patient with tongue-base ectopic thyroid managed by means of transoral robotic surgery. The intuitiveness of the procedure associated with very minimal invasiveness are confirmed in this case. Particularly when dealing with benign lesions that involve hard-to-reach regions such as the tongue base, robotic techniques should be considered as a truly valid alternative to traditional techniques.

摘要

舌甲状腺是一种罕见的病症,通常没有症状。鉴于其良性性质,每种治疗方法在优势和局部发病率方面都应保持良好的平衡。在规划治疗方案时,应权衡药物治疗和手术治疗。在手术选择中,与传统经口手术和外部手术方法相比,机器人技术在切除能力、发病率和生活质量方面具有诸多优势。在此,我们介绍一例通过经口机器人手术治疗舌根异位甲状腺的病例。该病例证实了该手术的直观性以及极低的侵入性。特别是在处理涉及舌根等难以触及区域的良性病变时,机器人技术应被视为传统技术的一种真正有效的替代方法。

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