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机器人手术在头颈部肿瘤中的应用:现状如何?

Robotic Surgery for Head and Neck Tumors: What are the Current Applications?

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong, Hong Kong, China.

出版信息

Curr Oncol Rep. 2024 Jul;26(7):840-854. doi: 10.1007/s11912-024-01546-1. Epub 2024 May 23.

Abstract

BACKGROUND

The journey from radical treatments to the precision of robotic surgery underscores a commitment to innovation and patient-centered care in the field of head and neck oncology.

PURPOSE OF REVIEW

This article provides a comprehensive overview that not only informs but also stimulates ongoing discourse and investigation into the optimization of patient care through robotic surgery. The literature on current robotic applications within head and neck region was systematically reviewed.

RECENT FINDINGS

Thirty-four studies with a total of 1835 patients undergoing robotic surgery in head and neck region were included. Clinical staging, histological types, operative duration, postoperative complications, functional recovery and survival outcomes were compared and evaluated. Clinical outcomes have shown promising results and thus the indication on the robotic usage has no longer been limited to oropharyngeal region but from skull base to neck dissection. The latest advancement in robotic surgery further refines the capabilities of surgeons into previously difficult-to-access head and neck regions and heralds a new era of surgical treatment for head and neck oncology.

摘要

背景

从激进治疗到机器人手术的精准治疗,突显了头颈部肿瘤学领域对创新和以患者为中心的护理的承诺。

目的综述

本文全面概述了机器人手术在优化患者护理方面的信息和持续讨论与研究,对当前头颈部机器人应用的文献进行了系统回顾。

最近发现

共纳入 34 项研究,总计 1835 例头颈部机器人手术患者。比较和评估了临床分期、组织学类型、手术时间、术后并发症、功能恢复和生存结果。临床结果显示出有前景的结果,因此机器人使用的适应证不再局限于口咽部位,而是从颅底到颈部清扫。机器人手术的最新进展进一步提高了外科医生进入以前难以到达的头颈部区域的能力,开创了头颈部肿瘤学手术治疗的新时代。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bde/11224089/46b40bdaf504/11912_2024_1546_Fig1_HTML.jpg

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