200例经口机器人甲状腺切除术治疗乳头状甲状腺癌患者的机构经验。
Institutional experience of 200 consecutive papillary thyroid carcinoma patients in transoral robotic thyroidectomy surgeries.
作者信息
Park Dawon, Kim Hoon Yub, Kim Hong Kyu, You Ji-Young, Dionigi Gianlorenzo, Russell Jonathon O, Tufano Ralph P
机构信息
Department of Surgery, KUMC Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, Republic of Korea.
Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
出版信息
Head Neck. 2020 Aug;42(8):2106-2114. doi: 10.1002/hed.26149. Epub 2020 Mar 25.
BACKGROUND
We evaluated the outcomes of patients with papillary thyroid carcinoma (PTC) who underwent transoral robotic thyroidectomy (TORT).
METHODS
We retrospectively analyzed the perioperative outcomes of 200 patients (170 women and 30 men) with PTC who underwent TORT at a single center between March 2016 and February 2018.
RESULTS
There were 182 and 13 cases of lobectomy and total thyroidectomy, respectively, with corresponding mean operative times of 200.6 ± 31.2 and 265.7 ± 63.0 minutes. On average, 5.6 ± 3.45 lymph nodes were retrieved per patient. There were 12 cases of perioperative morbidity. No conversion to endoscopic or conventional open surgery was noted. In a subgroup analysis for predictors of difficult TORT, patient sex was the only factor showing a significant operative time difference between a difficult and a nondifficult thyroidectomy.
CONCLUSION
TORT can be performed safely in patients with PTC without serious complications.
背景
我们评估了接受经口机器人甲状腺切除术（TORT）的甲状腺乳头状癌（PTC）患者的手术结果。
方法
我们回顾性分析了2016年3月至2018年2月期间在单一中心接受TORT的200例PTC患者（170例女性和30例男性）的围手术期结果。
结果
分别有182例和13例患者接受了甲状腺叶切除术和全甲状腺切除术，相应的平均手术时间分别为200.6±31.2分钟和265.7±63.0分钟。每位患者平均切除5.6±3.45枚淋巴结。围手术期有12例发生并发症，但未出现转为内镜手术或传统开放手术的情况。在针对困难TORT预测因素的亚组分析中，患者性别是唯一显示困难与非困难甲状腺切除术之间手术时间存在显著差异的因素。
结论
PTC患者可以安全地进行TORT，且无严重并发症。
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