经口机器人手术系统 Flex Robotic System 的应用：美国初步经验。
Transoral surgery using the Flex Robotic System: Initial experience in the United States.
机构信息
Department of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Department of Otolaryngology - Head and Neck Surgery, New York University School of Medicine, New York, New York.
出版信息
Head Neck. 2018 Nov;40(11):2482-2486. doi: 10.1002/hed.25375. Epub 2018 Oct 10.
BACKGROUND
This multicenter, retrospective review documents the initial experience using the Flex system for transoral surgery in 2 United States academic centers.
METHODS
All patients who underwent transoral robotic surgery using the Medrobotics Flex Robotic System (Raynham, MA) between September 2015 and May 2017 were reviewed. Rates of successful surgery and complications were evaluated.
RESULTS
Thirty-six men and 32 women were enrolled in the study. The average age was 55.6 years (range 17-82 years). The Flex system was used successfully in surgery of the tongue base, the palatine tonsils, the supraglottis, the glottis, the hypopharynx, the oral tongue, and the soft palate. Only 6 cases (7.6%) required readmission after discharge. There were no intraoperative or immediate postoperative complications, with no cases of intraoperative hemorrhage.
CONCLUSION
To the best of our knowledge, this is the first study in the United States evaluating the use of the Flex system to safely resect lesions in the oral cavity, larynx, and pharynx.
背景
本多中心回顾性研究记录了在美国两个学术中心首次使用 Flex 系统进行经口手术的经验。
方法
回顾了 2015 年 9 月至 2017 年 5 月期间使用 Medrobotics Flex 机器人系统（雷纳姆，马萨诸塞州）行经口机器人手术的所有患者。评估了手术成功率和并发症发生率。
结果
研究纳入 36 名男性和 32 名女性。平均年龄为 55.6 岁（范围 17-82 岁）。Flex 系统成功应用于舌根、腭扁桃体、会厌、声门、下咽、舌前和软腭的手术。仅 6 例（7.6%）在出院后需要再次入院。无术中或即刻术后并发症，无术中出血病例。
结论
据我们所知，这是美国首例评估 Flex 系统用于安全切除口腔、喉部和咽部病变的研究。
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