机器人甲状腺手术相关并发症研究进展—TORT与BABA入路对比分析  

Research progress of complications related to robotic thyroid surgery-comparison of TORT and BABA approaches

作　　者：李昆临 王程 杨明宇 隋成秋 迟昊 王宏博 Hoon Yub Kim 张大奇[1] 孙辉[1] Li Kunlin;Wang Cheng;Yang Mingyu;Sui Chengqiu;Chi Hao;Wang Hongbo;Hoon Yub Kim;Zhang Daqi;Sun Hui(Department of Thyroid Surgery,China-Japan Union Hospital of Jilin University,Jilin Provincial Key Laboratory of Surgical Translational Medicine,Jilin Provincial Engineering Laboratory of Thyroid Disease Prevention and Control,Changchun 130033,China;Department of Surgery,KUMC Thyroid Center,Korea University Hospital,Korea University College of Medicine,Seoul 02841,Korea)

机构地区：[1]吉林大学中日联谊医院甲状腺外科,吉林省外科转化医学重点实验室,吉林省甲状腺疾病防治工程实验室,长春130033 [2]高丽大学医学院甲状腺中心,微创手术和机器人手术中心,韩国首尔02841

出　　处：《中华内分泌外科杂志》2023年第1期120-123,共4页Chinese Journal of Endocrine Surgery

基　　金：科技部国家外国专家项目(G2022129012L);吉林省财政厅项目(2020SCZ58);"白求恩计划"项目(2020B49)。

摘　　要：近年来随着达芬奇手术系统的不断完善,机器人甲状腺手术已逐步在临床推广应用。与传统开放手术不同,机器人甲状腺手术多采用远程入路方式,具有3D高清放大视野、过滤手部颤动等诸多优势,其中最具代表性的入路方式为经口及经双侧乳晕腋窝入路。因二者入路方式不同,术中观察视角及术中操作顺序也不尽相同,故术后并发症发生比率及原因也存在较大差异。本文统计机器人甲状腺手术开展至今经口及经双侧乳晕腋窝入路报道术后并发症的文献,重点围绕两种入路下共有的喉返神经损伤、甲状旁腺功能减退等5种常见并发症进行对比总结分析,为机器人甲状腺手术更加规范化开展提供理论支持。In recent years,clinical applications of robotic thyroid surgery have been gradually promoted with the continuous improvement of the da Vinci robotic surgical system.Unlike traditional open surgery,robotic thyroid surgery mainly adopts remote access,which has many advantages,such as magnified high-definition 3D view and hand vibration stabilization.The rates and causes of postoperative complications differ due to different approaches,view angles,and operation sequences.This paper presents the literature on both transoral and bilateral areolar axillary approaches in robotic thyroid surgery,focusing on five common complications under both approaches,including laryngeal recurrent nerve injury and hypoparathyroidism,to provide theoretical support for the standardization of robotic thyroid surgery.

关 键 词：甲状腺手术 机器人手术 BABA入路 TORT入路 喉返神经 甲状旁腺功能减退 

分 类 号：R653[医药卫生—外科学]