两种机器人甲状腺切除术的比较分析：经口入路与双侧腋窝-乳房入路。
Comparative analysis of 2 robotic thyroidectomy procedures: Transoral versus bilateral axillo-breast approach.
作者信息
Chai Young Jun, Kim Hoon Yub, Kim Hong Kyu, Jun Sang Ho, Dionigi Gianlorenzo, Anuwong Angkoon, Richmon Jeremy D, Tufano Ralph P
机构信息
Department of Surgery, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, Korea.
Department of Surgery, Korea University College of Medicine Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, Korea.
出版信息
Head Neck. 2018 May;40(5):886-892. doi: 10.1002/hed.25034. Epub 2017 Dec 14.
BACKGROUND
The surgical outcomes of a single surgeon's initial cases of transoral robotic thyroidectomy (TORT) were compared with the surgeon's initial cases of a bilateral axillo-breast approach (BABA) robotic thyroidectomy.
METHODS
The medical reports were retrospectively reviewed. The BABA robotic thyroidectomies were performed between 2008 and 2009, and TORTs were performed between 2012 and 2016.
RESULTS
Each group comprised 50 patients. Operative time for total thyroidectomy was shorter, the pain scores were lower, and hospital stays were shorter in the TORT group than in the BABA robotic thyroidectomy group. There were no significant differences between groups in either vocal cord palsy or hypoparathyroidism rates. There were 9 cases of mental nerve injury in the first 12 cases of TORT, but none subsequently.
CONCLUSION
The TORT procedure could be performed safely and showed comparable outcomes with BABA robotic thyroidectomy in selected patients. Therefore, TORT may be an alternative approach for patients who prefer a scar-free thyroidectomy.
背景
将一位外科医生经口机器人甲状腺切除术（TORT）的首批病例的手术结果，与该医生双侧腋窝-乳房入路（BABA）机器人甲状腺切除术的首批病例进行比较。
方法
对病历报告进行回顾性分析。BABA机器人甲状腺切除术于2008年至2009年实施，TORT手术于2012年至2016年实施。
结果
每组各有50例患者。TORT组全甲状腺切除术的手术时间更短、疼痛评分更低、住院时间更短，与BABA机器人甲状腺切除术组相比。两组在声带麻痹或甲状旁腺功能减退发生率方面无显著差异。在TORT的前12例病例中有9例出现颏神经损伤，但后续病例中无此情况。
结论
TORT手术可安全实施，在特定患者中与BABA机器人甲状腺切除术的结果相当。因此，对于倾向于无痕甲状腺切除术的患者，TORT可能是一种替代方法。
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