Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.
Ann Surg Oncol. 2019 Dec;26(13):4472-4480. doi: 10.1245/s10434-019-07802-0. Epub 2019 Sep 9.
This study aimed to evaluate the feasibility and safety of the DaVinci SP system for performing transoral robotic surgery (TORS) in patients with head and neck cancer.
From October 2018 to April 2019, the medical records of 41 patients who underwent TORS using the DaVinci SP system were retrospectively reviewed.
During TORS, three robotic arms could be used to perform a geometric resection of the lesion in a narrow working space. The mean total operation time was 60 min, and the average time required to set up the robotic system was 10 min or less. All patients successfully underwent TORS. All robotic arms were inserted through a single port, which widened the working space around the patient's head and allowed the operative assistant an easy approach to the patient during the operation. The joggle joint of the robotic arms aided easy manipulation within the confined working space. The joggle joints of the endoscopic arm were controlled through the navigation system, which was very helpful in securing superior visualization of the surgical site, especially in the area of the larynx and the hypopharynx.
The study confirmed that the DaVinci SP system provided technical advantages above the Si and Xi systems for performing TORS. It was especially helpful in ensuring proper visualization of the surgical field and in performing precise surgery during surgery to the tongue base or the hypopharyngeal lesion.
本研究旨在评估达芬奇 SP 系统用于头颈部癌症患者经口机器人手术（TORS）的可行性和安全性。
回顾性分析 2018 年 10 月至 2019 年 4 月 41 例采用达芬奇 SP 系统行 TORS 治疗的患者的病历资料。
在 TORS 过程中，三个机器臂可以在狭窄的工作空间内对病变进行几何切除。总的手术时间平均为 60 分钟，机器人系统的设置时间平均在 10 分钟以内。所有患者均成功完成 TORS。所有机器臂均通过单个端口插入，从而扩大了患者头部周围的工作空间，并使手术助手在手术过程中能够轻松接近患者。机器臂的万向节有助于在受限的工作空间内轻松操作。内窥镜臂的万向节通过导航系统进行控制，这对于确保手术部位的良好可视化非常有帮助，尤其是在喉部和下咽区域。
本研究证实，达芬奇 SP 系统在执行 TORS 方面提供了优于 Si 和 Xi 系统的技术优势。它在确保手术视野的适当可视化和在对舌基或下咽病变进行精确手术方面特别有帮助。
