评估小儿耳鼻咽喉科机器人辅助手术：一项系统评价和荟萃分析。
Assessing robotic-assisted procedures in pediatric otolaryngology: A systematic review and meta-analysis.
作者信息
Gottman Drew C, Corbisiero Michaele Francesco, Saeedi Arman, Bothwell Samantha, Svoboda Ellie, Ai Andy, Roy Soham
机构信息
University of Colorado School of Medicine, Aurora, CO, USA.
Department of Otolaryngology - Head and Neck Surgery, Stanford Medicine, Palo Alto, CA, USA.
出版信息
Int J Pediatr Otorhinolaryngol. 2024 Dec;187:112175. doi: 10.1016/j.ijporl.2024.112175. Epub 2024 Nov 22.
BACKGROUND
Robotic-assisted surgery is increasingly used in pediatric otolaryngology, offering potential benefits like improved cosmetic outcomes. However, challenges such as longer operative times, higher costs, and a steep learning curve remain.
OBJECTIVES
This systematic review and meta-analysis assess whether robotic-assisted surgery offers advantages in operative time, complication rates, hospital stay, and cosmetic outcomes compared to traditional methods in pediatric patients.
METHODS
A literature search identified 20 studies, with six focused on thyroidectomy. Data on operative time, complications, hospital stay, and cosmetic outcomes were extracted and analyzed.
RESULTS
No significant differences in operative time or complications were found for robotic-assisted thyroidectomy, but it showed superior cosmetic outcomes and, in some cases, shorter hospital stays. Additional analyses suggested feasibility and functional benefits of other robotic procedures.
CONCLUSIONS
Robotic-assisted surgery in pediatric otolaryngology is as safe and efficient as traditional methods, with added cosmetic and functional benefits. Further large-scale trials are needed.
背景
机器人辅助手术在小儿耳鼻喉科的应用越来越广泛，具有改善美容效果等潜在优势。然而，手术时间延长、成本增加以及学习曲线陡峭等挑战依然存在。
目的
本系统评价和荟萃分析旨在评估与传统方法相比，机器人辅助手术在小儿患者的手术时间、并发症发生率、住院时间和美容效果方面是否具有优势。
方法
文献检索确定了20项研究，其中6项聚焦于甲状腺切除术。提取并分析了手术时间、并发症、住院时间和美容效果的数据。
结果
机器人辅助甲状腺切除术在手术时间或并发症方面未发现显著差异，但显示出更好的美容效果，在某些情况下住院时间更短。进一步分析表明其他机器人手术具有可行性和功能优势。
结论
小儿耳鼻喉科的机器人辅助手术与传统方法一样安全有效，还具有美容和功能方面的额外优势。需要进一步开展大规模试验。
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