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经口机器人手术治疗舌根鳞状细胞癌:达芬奇Xi系统与Si系统的初步比较

Transoral robotic surgery for the base of tongue squamous cell carcinoma: a preliminary comparison between da Vinci Xi and Si.

作者信息

Alessandrini Marco, Pavone Isabella, Micarelli Alessandro, Caporale Claudio

机构信息

Otolaryngology Unit, University of Rome Tor Vergata, Rome, Italy.

Otolaryngology and Head and Neck Surgery Unit, "Santo Spirito" Hospital of Pescara, Renato Paolini 47, Pescara, Italy.

出版信息

J Robot Surg. 2018 Sep;12(3):417-423. doi: 10.1007/s11701-017-0750-9. Epub 2017 Sep 13.

Abstract

Considering the emerging advantages related to da Vinci Xi robotic platform, the aim of this study is to compare for the first time the operative outcomes of this tool to the previous da Vinci Si during transoral robotic surgery (TORS), both performed for squamous cell carcinomas (SCC) of the base of tongue (BOT). Intra- and peri-operative outcomes of eight patients with early stage (T1-T2) of the BOT carcinoma and undergoing TORS by means of the da Vinci Xi robotic platform (Xi-TORS) are compared with the da Vinci Si group ones (Si-TORS). With respect to Si-TORS group, Xi-TORS group demonstrated a significantly shorter overall operative time, console time, and intraoperative blood loss, as well as peri-operative pain intensity and length of mean hospital stays and nasogastric tube positioning. Considering recent advantages offered by surgical robotic techniques, the da Vinci Xi Surgical System preliminary outcomes could suggest its possible future routine implementation in BOT squamous cell carcinoma procedures.

摘要

考虑到达芬奇Xi机器人平台所展现出的新优势,本研究旨在首次比较该工具与先前的达芬奇Si机器人在经口机器人手术(TORS)中治疗舌根部(BOT)鳞状细胞癌(SCC)的手术效果。将8例早期(T1-T2)BOT癌且接受达芬奇Xi机器人平台经口机器人手术(Xi-TORS)患者的术中和围手术期结果,与达芬奇Si组(Si-TORS)进行比较。与Si-TORS组相比,Xi-TORS组的总体手术时间、控制台操作时间、术中失血量显著缩短,围手术期疼痛强度、平均住院时间和鼻胃管放置时间也显著缩短。鉴于手术机器人技术最近的优势,达芬奇Xi手术系统的初步结果表明其未来可能会在BOT鳞状细胞癌手术中常规应用。

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