Department of Surgery, Korea University Medical Center Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, Korea.
Department of Surgery, Korea University Medical Center Thyroid Center, Korea University Hospital, Korea University College of Medicine, Seoul, Korea.
Surgery. 2021 Oct;170(4):1155-1159. doi: 10.1016/j.surg.2021.05.003. Epub 2021 Jun 3.
Although there are several publications on the new transoral robotic thyroidectomy technique, few have thoroughly reviewed its associated complications. This study analyzed the causes and prevention of transoral robotic thyroidectomy-specific complications and presented preventive measures.
The medical records of patients who underwent transoral robotic thyroidectomy performed by a single surgeon between March 1, 2009 and April 30, 2019 were retrospectively analyzed. Patient demographic, clinical, and operative data were analyzed using descriptive statistics. We describe the transoral robotic thyroidectomy-related complications experienced at our institution and how to overcome them.
This study included a total of 423 patients who underwent transoral robotic thyroidectomy. The general surgical complications included immediate postoperative bleeding (2 cases) and delayed hematoma (3 cases). Chyle leakage and localized wound infection were found in 1 case each. Transient vocal cord palsy occurred in 4 cases, and 1 case developed transient hypoparathyroidism. The transoral robotic thyroidectomy-specific complications included zygoma bruise (2 cases), flap bruise (3 cases), chin flap perforation (2 cases), and oral commissure tearing (2 cases). The complications occurring when creating the flap included flap burns (4 cases), skin dimpling in the midline of the lower chin (2 cases), and hematomas in the intraoral trocar insertion sites (3 cases).
Surgeons familiar with thyroid surgery and experienced in robotic surgery can perform transoral robotic thyroidectomy without causing more complications than those seen with traditional surgery.
尽管有一些关于经口机器人甲状腺切除术新技术的出版物，但很少有出版物全面审查其相关并发症。本研究分析了经口机器人甲状腺切除术特有的并发症的原因和预防，并提出了预防措施。
回顾性分析了 2009 年 3 月 1 日至 2019 年 4 月 30 日期间由一名外科医生进行的经口机器人甲状腺切除术患者的病历。使用描述性统计对患者的人口统计学、临床和手术数据进行了分析。我们描述了在我们机构中遇到的与经口机器人甲状腺切除术相关的并发症以及如何克服这些并发症。
本研究共纳入 423 例接受经口机器人甲状腺切除术的患者。普通外科并发症包括术后即刻出血（2 例）和延迟性血肿（3 例）。各有 1 例发生乳糜漏和局部伤口感染。一过性声带麻痹发生 4 例，一过性甲状旁腺功能减退症发生 1 例。经口机器人甲状腺切除术特有的并发症包括颧骨瘀伤（2 例）、皮瓣瘀伤（3 例）、颏下皮瓣穿孔（2 例）和口角撕裂（2 例）。在创建皮瓣时发生的并发症包括皮瓣烧伤（4 例）、颏下中线皮肤凹陷（2 例）和口腔穿刺部位血肿（3 例）。
熟悉甲状腺手术并具有机器人手术经验的外科医生可以进行经口机器人甲状腺切除术，而不会比传统手术引起更多的并发症。
