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双侧腋窝-乳房入路机器人甲状腺全切除术（不切除峡部）：一例报告

Bilateral axillo-breast approach robotic total thyroidectomy without isthmectomy: a case report.

作者信息

Kim Hyeji, Hwang Hyeonuk, Kwon Hyungju

机构信息

Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea.

出版信息

Ewha Med J. 2024 Jan;47(1):e7. doi: 10.12771/emj.2024.e7. Epub 2024 Jan 31.

DOI:10.12771/emj.2024.e7
PMID:40703399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12093593/
Abstract

Conventional open thyroidectomy is a safe procedure, but it has the disadvantage of leaving noticeable scars on the neck. Bilateral axillo-breast approach (BABA) robotic thyroidectomy was developed as an alternative technique to remove thyroid glands without making incisions in the neck. In traditional BABA robotic thyroidectomy, dividing the isthmus is a routine step to improve the efficiency of the dissection during thyroid surgery. However, there are safety concerns when performing this procedure on patients with thyroid cancer located in the isthmus. We report a case of BABA robotic total thyroidectomy carried out without dividing the isthmus in a patient with isthmic papillary thyroid carcinoma. Our experience suggests that BABA robotic surgery can be a feasible and safe option for selected patients with isthmic papillary thyroid carcinoma.

摘要

传统开放性甲状腺切除术是一种安全的手术，但它有在颈部留下明显疤痕的缺点。双侧腋窝-乳房入路（BABA）机器人甲状腺切除术作为一种替代技术而被开发出来，用于在颈部不做切口的情况下切除甲状腺。在传统的BABA机器人甲状腺切除术中，切断甲状腺峡部是提高甲状腺手术中解剖效率的常规步骤。然而，对峡部患有甲状腺癌的患者进行此操作时存在安全隐患。我们报告了一例峡部乳头状甲状腺癌患者在未切断峡部的情况下进行BABA机器人全甲状腺切除术的病例。我们的经验表明，对于选定的峡部乳头状甲状腺癌患者，BABA机器人手术可能是一种可行且安全的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/254a/12093593/fa10a7ae9b37/emj-47-1-7-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/254a/12093593/3b8fefc6d561/emj-47-1-7-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/254a/12093593/3ca2b1055b4c/emj-47-1-7-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/254a/12093593/fa10a7ae9b37/emj-47-1-7-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/254a/12093593/3b8fefc6d561/emj-47-1-7-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/254a/12093593/3ca2b1055b4c/emj-47-1-7-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/254a/12093593/fa10a7ae9b37/emj-47-1-7-g3.jpg

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本文引用的文献

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Recent Changes in the Incidence of Thyroid Cancer in Korea between 2005 and 2018: Analysis of Korean National Data.2005 年至 2018 年韩国甲状腺癌发病率的变化：韩国国家数据分析。
Endocrinol Metab (Seoul). 2022 Oct;37(5):791-799. doi: 10.3803/EnM.2022.1533. Epub 2022 Oct 11.
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Re-Increasing Trends in Thyroid Cancer Incidence after a Short Period of Decrease in Korea: Reigniting the Debate on Ultrasound Screening.韩国甲状腺癌发病率在短暂下降后再度上升：重新引发关于超声筛查的争论
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The First Report of Robotic Bilateral Modified Radical Neck Dissection Through the Bilateral Axillo-breast Approach for Papillary Thyroid Carcinoma With Bilateral Lateral Neck Metastasis.
机器人双侧改良颈淋巴结清扫术经双侧腋窝-乳房入路治疗双侧颈外侧转移的甲状腺乳头状癌的首次报告。
Surg Laparosc Endosc Percutan Tech. 2020 Jun;30(3):e18-e22. doi: 10.1097/SLE.0000000000000590.
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A Review on the History of 'Thyroid Surgery'.“甲状腺手术史”综述
Indian J Surg. 2016 Feb;78(1):32-6. doi: 10.1007/s12262-015-1317-5. Epub 2015 Dec 18.
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The perception of scar cosmesis following thyroid and parathyroid surgery: A prospective cohort study.甲状腺和甲状旁腺手术后瘢痕美容效果的认知：一项前瞻性队列研究。
Int J Surg. 2016 Jan;25:38-43. doi: 10.1016/j.ijsu.2015.11.021. Epub 2015 Nov 19.
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Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA) technique: our initial experience.使用双侧腋窝乳房入路（BABA）技术的达芬奇机器人系统进行内镜甲状腺切除术：我们的初步经验。
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