柔性经口机器人手术：意大利的经验。
Flexible transoral robotic surgery: the Italian experience.
作者信息
Barbara Francesco, Cariti Francesco, De Robertis Valentina, Barbara Michele
机构信息
Otolaryngology and Head and Neck Unit, Ospedale "Mons. Dimiccoli", Barletta (BAT), Italy.
出版信息
Acta Otorhinolaryngol Ital. 2021 Feb;41(1):24-30. doi: 10.14639/0392-100X-N0688.
OBJECTIVE
This prospective, non-randomised study documents our initial experience using the Flex Surgical System for transoral surgery in Italy.
METHODS
All patients who underwent transoral robotic surgery using the Medrobotics Flex Robotic System (Raynham, MA, USA) between March 2018 and April 2019 were reviewed. Rates of successful surgery, surgical time and complications were evaluated. 43 surgical procedures were performed in the study. The average age was 62.56 years (range 36-90 years). The Flex system was used successfully in surgery of the base of the tongue, palatine tonsils, supraglottis, hypopharynx and glottis, which was the most frequent target.
RESULTS
All procedures were successfully completed. There were no intraoperative or serious postoperative complications, with no cases of intraoperative haemorrhage.
CONCLUSIONS
This is the first study in Italy evaluating the use of the Flex system to safely resect lesions in the oral cavity, larynx and pharynx.
目的
这项前瞻性、非随机研究记录了我们在意大利使用Flex手术系统进行经口手术的初步经验。
方法
回顾了2018年3月至2019年4月期间所有使用美迪机器人Flex机器人系统（美国马萨诸塞州雷纳姆）进行经口机器人手术的患者。评估了手术成功率、手术时间和并发症发生率。该研究共进行了43例手术。平均年龄为62.56岁（范围36 - 90岁）。Flex系统成功应用于舌根、腭扁桃体、声门上区、下咽和声带手术，其中声带手术是最常见的目标部位。
结果
所有手术均成功完成。无术中或严重术后并发症，无术中出血病例。
结论
这是意大利第一项评估使用Flex系统安全切除口腔、喉和咽病变的研究。
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