Chan Y K, Wong W Y
Department of Otorhinolaryngology, Head and Neck Surgery，The Chinese University of Hong Kong.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jul;32(14):1056-1060. doi: 10.13201/j.issn.1001-1781.2018.14.004.
Robotic surgery in the head and neck region has been used to approach many different areas within the head and neck region. Here we describe our experiences of its application at The Chinese University of Hong Kong.This is a retrospective review of all cases operated by the two authors since Jan 2015 at the Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong.Twenty-four cases were performed with the da Vinci S or da Vinci Xi systems. Twenty-one cases were performed with the novel flexible robotic da Vinci SP system. There were no serious adverse events requiring a return to the operating room. Early results from the da Vinci SP have been previously published in seven patients that demonstrated the ability to reach the nasopharynx, oropharynx, hypopharynx, larynx and also retropharyngeal lymph nodes. There were no conversions to alternative surgical approaches. There were no serious adverse events or adverse events related to the use of this system.In conclusion, through our experiences at The Chinese University of Hong Kong we have found the da Vinci robotic systems to be useful and safe in performing TORS and addressing pathologies in the neck through the retroauricular approach.
头颈部区域的机器人手术已被用于处理头颈部区域内的许多不同部位。在此，我们描述我们在香港中文大学应用该技术的经验。这是对自2015年1月起由两位作者在香港中文大学耳鼻咽喉头颈外科进行手术的所有病例的回顾性研究。使用达芬奇S或达芬奇Xi系统进行了24例手术。使用新型柔性机器人达芬奇SP系统进行了21例手术。没有发生需要返回手术室的严重不良事件。达芬奇SP系统的早期结果此前已在7例患者中发表，显示了其到达鼻咽、口咽、下咽、喉部以及咽后淋巴结的能力。没有转为其他手术方式的情况。没有严重不良事件或与该系统使用相关的不良事件。总之，通过我们在香港中文大学的经验，我们发现达芬奇机器人系统在通过耳后入路进行经口机器人手术（TORS）和处理颈部病变方面是有用且安全的。
