Park Joonseon, Kim Kwangsoon
Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
Cancers (Basel). 2024 Jul 6;16(13):2470. doi: 10.3390/cancers16132470.
Thyroid cancer is among the most common endocrine malignancies, necessitating effective surgical interventions. Traditional open cervicotomy has long been the standard approach for thyroidectomy. However, the advent of robotic surgery has introduced new possibilities for minimally invasive procedures with benefits in terms of cosmetic outcomes, enhanced precision, comparable complication rates, and reduced recovery time. This study mainly reviewed the most widely used and well-known robotic thyroidectomy approaches: the transaxillary approach, the bilateral axillo-breast approach, and the transoral approach. This review examines the current status and future potential of robotic surgery in thyroid cancer treatment, comparing its efficacy, safety, and outcomes with those of conventional open cervicotomy. Challenges such as a longer operative time and higher costs exist. Future directions include technological advancements, tele-surgery, single-port surgery, and the integration of artificial intelligence. Robotic surgery holds promise in optimizing patient outcomes in thyroid cancer treatment.
甲状腺癌是最常见的内分泌恶性肿瘤之一,需要有效的手术干预。传统的开放式颈部切开术长期以来一直是甲状腺切除术的标准方法。然而,机器人手术的出现为微创手术带来了新的可能性,在美容效果、提高精准度、可比的并发症发生率和缩短恢复时间方面具有优势。本研究主要回顾了最广泛使用和知名的机器人甲状腺切除术方法:经腋窝入路、双侧腋窝-乳房入路和经口入路。本综述探讨了机器人手术在甲状腺癌治疗中的现状和未来潜力,将其疗效、安全性和结果与传统开放式颈部切开术进行了比较。存在手术时间较长和成本较高等挑战。未来的发展方向包括技术进步、远程手术、单孔手术以及人工智能的整合。机器人手术在优化甲状腺癌治疗的患者预后方面具有前景。