Yee Shokjean
AORN J. 2017 Jan;105(1):73-84. doi: 10.1016/j.aorn.2016.11.011.
Transoral robotic surgery (TORS) is a technique used to treat oral, throat, and skull base cancers using a minimally invasive robotic approach through the mouth and throat. The TORS procedure allows deeper access and dissection of suspicious lesions and neoplastic growths in the oral cavity and those that extend from the throat to the base of the skull. Robotic surgery allows the surgeon to operate in tight spaces without a large open incision. This article discusses symptoms and risk factors of oral, throat, and skull base cancers; types of procedures that can be performed using the TORS approach; specialized instrumentation; patient selection; surgical advantages and disadvantages; patient benefits; and the role of the surgical team in preparing to intraoperatively care for the TORS patient.
经口机器人手术（TORS）是一种通过口腔和咽喉采用微创机器人方法治疗口腔、咽喉和颅底癌症的技术。TORS手术能够更深入地接近并切除口腔内可疑病变及肿瘤性增生，以及那些从咽喉延伸至颅底的病变。机器人手术使外科医生能够在狭小空间内操作，而无需做大的开放性切口。本文讨论了口腔、咽喉和颅底癌症的症状及危险因素；可采用TORS方法进行的手术类型；专用器械；患者选择；手术的优缺点；患者获益；以及手术团队在术前准备和术中护理TORS患者方面的作用。
