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头颈部机器人手术联合前哨淋巴结活检。引人入胜,但可行吗?

Head and neck robotic surgery combined with sentinel lymph node biopsy. Fascinating, but feasible?

机构信息

Department of Otorhinolaryngology - Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.

Department of Otorhinolaryngology - Head and Neck Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.

出版信息

Oral Oncol. 2020 Dec;111:104939. doi: 10.1016/j.oraloncology.2020.104939. Epub 2020 Jul 31.

DOI:10.1016/j.oraloncology.2020.104939
PMID:32745899
Abstract

Robotic approaches and sentinel lymph node (SLN) biopsy are both strategies that evolved driven by the need to reduce impact of head and neck oncological surgery in terms of operative timing, morbidity, hospitalization time, and aesthetic results. A comprehensive review of the scientific literature was performed on PubMed, Embase, ResearchGate, Cochrane, and CENTRAL electronic databases with the aim to discuss the role that these two approaches can play together in the management of head and neck cancers (HNCs) of various sites. Dedicated publications on the combined robotics and SLN biopsy approaches resulted, up to now very limited, while their separated application in non-shared fields is gaining strength. However, the possibility to implement and combine technologies to minimize sequelae of head and neck surgery is an interesting and evolving topic.

摘要

机器人手术方法和前哨淋巴结 (SLN) 活检都是为了减少头颈部肿瘤手术对手术时机、发病率、住院时间和美容效果的影响而发展起来的策略。在 PubMed、Embase、ResearchGate、Cochrane 和 CENTRAL 电子数据库中对科学文献进行了全面回顾,目的是讨论这两种方法在各种部位头颈部癌症 (HNC) 的管理中可以共同发挥的作用。迄今为止,专门讨论联合机器人和 SLN 活检方法的出版物非常有限,而它们在非共享领域的单独应用正在得到加强。然而,实施和结合技术以最小化头颈部手术后遗症的可能性是一个有趣且不断发展的话题。

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引用本文的文献

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Current Approaches to Salvage Surgery for Head and Neck Cancer: A Comprehensive Review.头颈癌挽救性手术的当前方法:全面综述
Cancers (Basel). 2023 May 5;15(9):2625. doi: 10.3390/cancers15092625.
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Preclinical feasibility of robot-assisted sentinel lymph node biopsy using multi-modality magnetic and fluorescence guidance in the head and neck.头颈部多模态磁共振和荧光引导机器人辅助前哨淋巴结活检的临床前可行性。
Head Neck. 2022 Dec;44(12):2696-2707. doi: 10.1002/hed.27177. Epub 2022 Sep 8.