机器人与内镜经口甲状腺切除术治疗甲状腺乳头状癌：240 例连续患者手术结果的对比分析。
Robotic versus endoscopic transoral thyroidectomy in papillary thyroid cancer: A comparative analysis of surgical outcomes in 240 consecutive patients.
机构信息
Department of Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.
Department of Surgery, Gyeongsang National University College of Medicine, Jinju, Republic of Korea.
出版信息
Head Neck. 2023 Apr;45(4):827-837. doi: 10.1002/hed.27295. Epub 2023 Jan 6.
BACKGROUND
This study compared the surgical outcomes of transoral endoscopic thyroidectomy vestibular approach (TOETVA) and transoral robotic thyroidectomy (TORT) in papillary thyroid cancer (PTC).
METHODS
The TOETVA and TORT groups comprised 119 and 121 patients between November 2016 and May 2022. Clinico-surgical outcomes and operation times were retrospectively reviewed.
RESULTS
The TORT group showed a higher number of retrieved central compartment lymph nodes, shorter hospital stays, and lower pain score after 48 h than the TOETVA group. No significant difference was observed in the other postoperative complications, including permanent vocal cord palsy. Total operation, working space creation, and endoscopic or robotic surgery times of the TORT group were longer than those of the TOETVA group.
CONCLUSIONS
TORT and TOETVA are feasible and safe. TORT may have some advantages, such as central compartment node dissection, shorter hospital stays, and pain score after 48 h in PTC, despite a longer operative time.
背景
本研究比较了经口内镜甲状腺手术（TOETVA）和经口机器人甲状腺手术（TORT）在甲状腺乳头状癌（PTC）中的手术结果。
方法
2016 年 11 月至 2022 年 5 月期间，119 例患者接受了 TOETVA，121 例患者接受了 TORT。回顾性分析临床手术结果和手术时间。
结果
与 TOETVA 组相比，TORT 组中央区淋巴结清扫的数量更多，住院时间更短，术后 48 小时疼痛评分更低。两组术后其他并发症（包括永久性声带麻痹）无显著差异。TORT 组的总手术时间、手术空间创建时间以及内镜或机器人手术时间均长于 TOETVA 组。
结论
TORT 和 TOETVA 是可行且安全的。与 TOETVA 相比，TORT 可能具有一些优势，如在 PTC 中进行中央区淋巴结清扫、住院时间更短、术后 48 小时疼痛评分更低，尽管手术时间更长。
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