Thankappan Krishnakumar, Dabas Surender, Deshpande Mandar
Department of Head and Neck surgery and Oncology, Amrita Institute of Medical Sciences, Amrita University, Kochi, India.
Department of Surgical Oncology, Rajiv Gandhi Cancer Hospitals, New Delhi, India.
Gland Surg. 2017 Jun;6(3):267-271. doi: 10.21037/gs.2017.03.02.
Robotic thyroidectomy is getting accepted worldwide, but, majority of the literature is from South Korea. The purpose of this paper is to review the early experiences with robotic retroauricular (RA) thyroidectomy from India. The rationale for robotic thyroidectomy, its advantages and disadvantages are reviewed. The reasons for selecting the RA approach and the criteria used for selecting the patients are discussed. The early experience and outcomes of 29 patients, from three centres across India is presented. Robotic approaches score above endoscopic methods. RA approach may have some technical advantages for the head and neck surgeons. Sufficient cadaver and preclinical training should be undertaken. Standardized and formal teaching for robotic surgical skill is necessary. Case selection is important especially in the initial phases of the learning curve. Our early experience with robotic thyroidectomy was encouraging.
机器人甲状腺切除术正在全球范围内被广泛接受，但大多数相关文献来自韩国。本文旨在回顾印度开展机器人耳后（RA）甲状腺切除术的早期经验。文中回顾了机器人甲状腺切除术的理论依据、优缺点。讨论了选择RA入路的原因及患者选择标准。介绍了印度三个中心29例患者的早期经验和手术结果。机器人手术方法优于内镜手术方法。RA入路对头颈外科医生可能具有一些技术优势。应进行充分的尸体解剖和临床前培训。机器人手术技能的标准化和正规教学是必要的。病例选择很重要，尤其是在学习曲线的初始阶段。我们机器人甲状腺切除术的早期经验令人鼓舞。
