Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, South Korea.
Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, South Korea.
Head Neck. 2019 Mar;41(3):730-738. doi: 10.1002/hed.25426. Epub 2018 Dec 6.
The aim of this study was to evaluate the feasibility, safety, and early surgical outcomes of transoral thyroidectomy and to compare robotic and endoscopic procedures.
A total of 37 patients underwent robotic (23 cases) or endoscopic (14 cases) transoral thyroidectomy. We compared the outcomes of the two procedures.
Of the 37 patients, 2 were converted to the robotic facelift approach as a result of an intraoperative CO embolism and inability to remove the tumor. The mean operative time was 172.8 ± 37.5 minutes. Transient recurrent laryngeal nerve palsy occurred in one case, and transient hypoparathyroidism in two cases. Most of patients were satisfied with the postoperative cosmesis. There were no significant differences between the robotic and endoscopic procedures, except for operative time, which was significantly longer in the robotic group.
Robotic and endoscopic transoral thyroidectomies are both feasible and safe in appropriate patients.
本研究旨在评估经口甲状腺切除术的可行性、安全性和早期手术结果，并比较机器人手术和内镜手术。
共 37 例患者接受了机器人（23 例）或内镜（14 例）经口甲状腺切除术。我们比较了两种手术的结果。
37 例患者中，2 例因术中 CO 栓塞和无法切除肿瘤而转为机器人除皱术。平均手术时间为 172.8±37.5 分钟。一过性喉返神经麻痹 1 例，一过性甲状旁腺功能减退 2 例。大多数患者对术后美容效果满意。机器人组的手术时间明显长于内镜组，除手术时间外，两组间无显著差异。
对于合适的患者，机器人手术和内镜手术都是可行和安全的。
