经口机器人切除上呼吸道和消化道良性肿瘤：GETTEC 法国组的经验。
Transoral robotic resection of benign tumors of the upper aerodigestive tract: Experience of the French group of GETTEC.
机构信息
Department of Ear, Nose, and Throat - Head and Neck Surgery, Toulouse University Hospital, Hôpital Larrey, Toulouse, France.
Department of Surgery, University Cancer Institute Toulouse, Toulouse, France.
出版信息
Head Neck. 2018 Sep;40(9):2043-2049. doi: 10.1002/hed.25197. Epub 2018 Apr 26.
BACKGROUND
The purpose of this study was to assess the current use of transoral robotic surgery (TORS) in benign tumors of the upper aerodigestive tract through a case series and a literature review.
METHODS
This multicentric retrospective study was conducted in 6 French centers between November 2009 and July 2017.
RESULTS
Twenty-one patients had a TORS resection of a tumor at varied locations with differing histopathologic characteristics. The mean postoperative hospital stay was 6.1 days. Eight patients had nasogastric tubes, which were removed after a mean of 5.6 days. Two patients had a prophylactic tracheostomy for an average of 5.5 days. A third tracheostomy was performed secondarily for postoperative bleeding. No recurrences were observed during the 2-year follow-up.
CONCLUSION
This technique caused few complications and resulted in short hospitalization, with satisfactory functional and recurrence outcomes. However, the risk of bleeding and edema must be considered, and the need for a tracheostomy must be approached wisely.
背景
本研究通过病例系列和文献回顾，评估经口机器人手术（TORS）在头颈部良性肿瘤中的应用现状。
方法
这是一项 2009 年 11 月至 2017 年 7 月在法国 6 家中心进行的多中心回顾性研究。
结果
21 例患者在不同部位接受了 TORS 切除术，肿瘤具有不同的组织病理学特征。术后平均住院时间为 6.1 天。8 例患者留置鼻胃管，平均 5.6 天后拔除。2 例患者预防性行气管切开术，平均 5.5 天。第三例气管切开术是由于术后出血而进行的。在 2 年的随访中，没有观察到复发。
结论
该技术并发症少，住院时间短，功能和复发效果满意。但是，必须考虑出血和水肿的风险，明智地选择气管切开术的必要性。
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