Li X L, Chen S J, Li C Y, Cao X J, Zhuang D Y, Zhou P, Yue T, Wang M, Zhu J, He Q Q
Department of Thyroid and Breast Surgery, the 960th Hospital of People's Liberation Army, Jinan 250031, China.
Zhonghua Wai Ke Za Zhi. 2024 May 1;62(5):419-423. doi: 10.3760/cma.j.cn112139-20230915-00123.
To investigate the short-term outcome of transoral robotic thyroidectomy. This is a retrospective case series study. The clinicopathologic characteristics and postoperative results of 107 patients who underwent transoral robotic thyroidectomies in the Department of Thyroid and Breast Surgery of the 960 Hospital of People's Liberation Army from May 2020 to August 2023 were retrospectively analyzed. There were 12 males and 95 females, with an age of (31.8±9.4) years (range: 11 to 55 years), including 20 benign tumors and 87 thyroid papillary carcinoma. Postoperative follow-up was carried out through returning visit and telephone, mainly to observe the recovery of postoperative complications, cosmetic effects and recurrence results. All transoral robotic thyroidectomy was successfully completed without conversion to open surgery. The tumor size of thyroid papillary carcinoma patients was (5.6±2.7) mm (range: 2 to 15 mm). Furthermore, central cervical lymph node metastasis was found in 45 cases. The number of central cervical lymph nodes retrieved and metastasized ((IQR)) were 11 (8) (range: 3 to 26) and 1 (3) (range: 0 to 13), respectively. There was no recurrent laryngeal nerve injury and permanent hypoparathyroidism. The transient hypoparathyroidism after surgery was 8 cases. Other complications occurred as follows: postoperative infection (=1), left submandibular perforation (=1), skin scald (=1), and perioral numbness (=1), oral tear (=2). The postoperative stay was 6 (2) days (range: 3 to 11 days). No local lymph node recurrence or metastasis occurred after a follow-up of (22.6±10.0) months (range: 1.0 to 37.4 months). All patients were satisfied with the postoperative cosmetic results, the aesthetic effect score was 9.3 (0.2) (range: 8.4 to 9.6) one month after surgery. For highly screened patients with early thyroid cancer, experienced surgeons can perform a transoral robotic thyroidectomy that has excellent cosmetic results.
探讨经口机器人甲状腺切除术的短期疗效。这是一项回顾性病例系列研究。对2020年5月至2023年8月在解放军第九六〇医院甲状腺乳腺外科接受经口机器人甲状腺切除术的107例患者的临床病理特征及术后结果进行回顾性分析。其中男性12例，女性95例，年龄（31.8±9.4）岁（范围：11至55岁），包括20例良性肿瘤和87例甲状腺乳头状癌。术后通过复诊及电话进行随访，主要观察术后并发症恢复情况、美容效果及复发情况。所有经口机器人甲状腺切除术均顺利完成，无一例中转开放手术。甲状腺乳头状癌患者肿瘤大小为（5.6±2.7）mm（范围：2至15mm）。此外，45例发现中央区颈部淋巴结转移。中央区颈部淋巴结清扫及转移的数量（四分位间距）分别为11（8）（范围：3至26）和1（3）（范围：0至13）。无喉返神经损伤及永久性甲状旁腺功能减退。术后短暂性甲状旁腺功能减退8例。其他并发症发生情况如下：术后感染（=1）、左下颌下穿孔（=1）、皮肤烫伤（=1）、口周麻木（=1）、口腔撕裂（=2）。术后住院时间为6（2）天（范围：3至11天）。随访（22.6±10.0）个月（范围：1.0至37.4个月）后无局部淋巴结复发或转移。所有患者对术后美容效果满意，术后1个月美学效果评分为9.3（0.2）（范围：8.4至9.6）。对于经过严格筛选的早期甲状腺癌患者，经验丰富的外科医生可施行经口机器人甲状腺切除术，其美容效果极佳。
