Zhonghua Wai Ke Za Zhi. 2024 Sep 1;62(9):805-817. doi: 10.3760/cma.j.cn112139-20240608-00285.
The use of robotic operating systems is an advancement of intelligent precision, minimally invasive surgery. It has been used in the field of thyroid surgery with satisfactory results. as played an important role in the standardization and clinical popularization of robotic surgical system-assisted thyroid and parathyroid surgery. With the deepening of clinical practice, updates in minimally invasive concept, the replacement of robotic platforms and the continuous improvement of technology, robotic thyroid and parathyroid surgery has been further developed. Notably, it has made substantial progress in expanding indications and the training of robotic surgeons and teams. Based on the 2016 Chinese expert consensus, combined with recent related articles and clinical studies, the Clinical Practice Guideline for Robotic Surgical System-Assisted Thyroid and Parathyroid Surgery (2024 edition) was formed. The surgical team training, indications, preoperative evaluation, patient position and space establishment, thyroidectomy procedures, neck lymph node dissection skills were summarized and recommended. Furthermore, reasonable suggestions on reoperation, parathyroid surgery and management of postoperative complications were also put forward, aiming to better guide clinical practice.
机器人操作系统的应用是智能精准、微创手术的一项进步。它已在甲状腺手术领域得到应用,效果令人满意。在机器人手术系统辅助甲状腺和甲状旁腺手术的标准化及临床推广方面发挥了重要作用。随着临床实践的深入、微创理念的更新、机器人平台的换代以及技术的不断改进,机器人甲状腺和甲状旁腺手术得到了进一步发展。值得注意的是,它在扩大适应证以及机器人外科医生和团队的培训方面取得了实质性进展。基于2016年中国专家共识,结合近期相关文章和临床研究,形成了《机器人手术系统辅助甲状腺和甲状旁腺手术临床实践指南(2024年版)》。总结并推荐了手术团队培训、适应证、术前评估、患者体位与空间建立、甲状腺切除术步骤、颈部淋巴结清扫技巧。此外,还对再次手术、甲状旁腺手术及术后并发症处理提出了合理建议,旨在更好地指导临床实践。