经腋窝机器人辅助腔镜甲状腺手术:单中心实践经验总结  

Transaxillary robotic-assisted thyroid surgery:summary of single-center practical experience

作　　者：史荣亮 倪兆娴 王宇 孙国华[1,2] 渠宁 刘婉琳[1,2] 马奔 王玉龙 魏文俊 向俊[1,2] 嵇庆海 SHI Rongliang;NI Zhaoxian;WANG Yu;SUN Guohua;QU Ning;LIU Wanlin;MA Ben;WANG Yulong;WEI Wenjun;XIANG Jun;JI Qinghai(Department of Head and Neck Surgery,Fudan University Shanghai Cancer Center,Shanghai 200032,China;Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China;Department of General Surgery,Minhang Hospital,Fudan University,Shanghai 201199,China)

机构地区：[1]复旦大学附属肿瘤医院头颈外科,上海200032 [2]复旦大学上海医学院肿瘤学系,上海200032 [3]复旦大学附属闵行医院普通外科,上海201199

出　　处：《中国普通外科杂志》2023年第11期1657-1662,共6页China Journal of General Surgery

基　　金：国家自然科学基金资助项目(82072951);上海市科委重点领域创新计划基金资助项目(22Y21900100);上海市抗癌协会基金资助项目(SACA-AX202213)。

摘　　要：近十几年来,国内机器人甲状腺手术飞速发展,腋窝入路手术的安全性、肿瘤治疗的根治性和美容性不断得到验证,其比例正在快速增长。在此,笔者从入路选择、适应证与禁忌证、器械的改进、切口选择、建腔、术中技巧和并发症等方面对本中心实施的经腋窝机器人辅助腔镜甲状腺手术进行总结和分享,旨在为该手术的发展提供参考和帮助。In the past decade,there has been a rapid development of robotic thyroid surgery in China.The safety,the oncological radical nature,and the cosmetic outcomes of transaxillary approach surgery are continuously validated,and the rate of its implementation is rapidly increasing.Here,we summarize and share insights on tansaxillary robotic-assisted endoscopic thyroid surgery performed in our center,covering aspects such as approach selection,indications and contraindications,instrument improvement,incision selection,space creation,intraoperative skills,and complications.The aim is to offer reference and assistance for the development of this surgical procedure.

关 键 词：甲状腺肿瘤 甲状腺切除术 机器人手术 腋窝入路 

分 类 号：R736.1[医药卫生—肿瘤]