经改良面部提升切口的机器人辅助下颌下腺切除术
Robot-assisted submandibular gland excision via modified facelift incision.
作者信息
Jung Seung Wook, Kim Young Kwan, Cha Yong Hoon, Koh Yoon Woo, Nam Woong
机构信息
Department of Oral and Maxillofacial Surgery, Yonsei University, College of Dentistry, Seoul, Korea.
Department of Otorhinolaryngology, Yonsei University, College of Medicine, Seoul, Korea.
出版信息
Maxillofac Plast Reconstr Surg. 2017 Sep 5;39(1):25. doi: 10.1186/s40902-017-0122-4. eCollection 2017 Dec.
BACKGROUND
The conventional transcervical resection for submandibular gland disease has some risks and an unsatisfactory cosmetic result. Recently, robot-assisted surgery has been developed as a plausible substitute for conventional surgery which provides an excellent cosmetic outcome.
CASE PRESENTATION
The authors performed robot-assisted sialadenectomy via modified facelift incision using the da Vinci Xi surgical system (Intuitive Surgical Inc., CA, USA) with two endowrist arms (monopolar curved scissors and Maryland bipolar forceps) successfully in a 44-year-old female patient who suffered from sialolith and severe atrophic submandibular gland.
CONCLUSIONS
If similar studies are done in the future, this robot-assisted sialadenectomy may become established as an alternative to existing disadvantageous surgical methods.
背景
传统的经颈下颌下腺疾病切除术存在一定风险，且美容效果不理想。近年来，机器人辅助手术已发展成为一种可行的传统手术替代方法，其美容效果极佳。
病例报告
作者使用达芬奇Xi手术系统（美国加利福尼亚州直观外科公司）通过改良的面部提升切口，使用两个可弯曲腕部器械（单极弯剪刀和马里兰双极钳），成功地为一名患有涎石病和严重萎缩性下颌下腺的44岁女性患者实施了机器人辅助涎腺切除术。
结论
如果未来进行类似研究，这种机器人辅助涎腺切除术可能会成为现有不利手术方法的替代方案。
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