达芬奇机器人辅助胸腺扩大切除术治疗重症肌无力的研究进展  

Research progress of da Vinci robot-assisted thoracoscopic extended thymectomy in the treatment of myasthenia gravis

作　　者：孙振栋 周一凡[2] SUN Zhendong;ZHOU Yifan(Youjiang Medical University for Nationalities,Baise,533000,Guangxi,P.R.China;The People's Hospital of Guangxi Zhuang Autonomous Region,Nanning,530000,P.R.China)

机构地区：[1]右江民族医学院,广西百色533000 [2]广西壮族自治区人民医院,南宁530000

出　　处：《中国胸心血管外科临床杂志》2024年第8期1215-1221,共7页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：南宁市青秀区科技计划项目(2020029)。

摘　　要：重症肌无力是临床上常见疾病,胸腺扩大切除术是治疗重症肌无力的重要途径。正中开胸、胸腔镜、机器人是重要的手术方式。达芬奇机器人辅助胸腔镜手术在胸腺扩大切除中的应用越来越广泛,手术安全性高、稳定性好。其手术入路分为肋间入路、剑突下入路等,不同的手术入路各有优势,疗效各有不同。本文介绍达芬奇机器人胸腺扩大切除术手术适应证、技术步骤及效果,分析治疗重症肌无力的优势和局限性,并展望其发展前景。Myasthenia gravies is a common disease in the clinic.Extended thymectomy is an important way to treat myasthenia gravis.Median thoracotomy,thoracoscopy,and robots are important surgical methods.Da Vinci robotassisted thoracoscopic surgery is more and more widely used in extended thymectomy,with high surgical safety and good stability.The surgical approach includes intercostal approach,subxiphoid approach,etc.Different surgical approaches have their own advantages,and their surgical effects are different.This article introduces the indications,technical steps,and effects of da Vinci robot-assisted thoracoscopic surgery,analyzes the advantages and limitations of treating myasthenia gravis,and looks forward to its development prospects.

关 键 词：达芬奇机器人 重症肌无力 胸腺扩大切除术 综述 

分 类 号：R746.1[医药卫生—神经病学与精神病学]