机器人手术系统辅助甲状腺和甲状旁腺手术临床实践指南(2024版)  

Clinical practice guideline for robotic surgical system-assisted thyroid and parathyroid surgery(2024 edition)

作　　者：中国医师协会外科医师分会甲状腺外科专家工作组 中国研究型医院学会甲状腺疾病专业委员会 中国医疗保健国际交流促进会普通外科学分会 田文[2] 贺青卿 朱见 李超[5] 王丹 Expert Working Group on Thyroid Surgery,Chinese Medical Doctor Association Division of Surgeons;Thyroid Disease Committee of Chinese Research Hospital Association;General Surgery Branch of China International Exchange and Promotive Association for Medical and Health Care;Tian Wen;He Qingqing(不详;Department of General Surgery,the First Medical Center of Chinese People's Liberation Army General Hospital,Beijing 100853,China;Department of Thyroid and Breast Surgery,the 96o"h Hospital of the People's Liberation Army Joint Logistics Support Force,Jinan 250031,China)

机构地区：[1]不详 [2]解放军总医院第一医学中心普通外科,北京100853 [3]联勤保障部队第九六○医院甲状腺乳腺外科,济南250031 [4]联勤保障部队第九六○医院,济南250031 [5]四川省肿瘤医院

出　　处：《中华外科杂志》2024年第9期805-817,共13页Chinese Journal of Surgery

基　　金：中国人民解放军联勤保障部队医学重点学科项目;山东省医药卫生科技发展计划基金资助项目(202204071072);济南市临床医学科技创新计划(202328089);济南市科技创新发展计划(202317016);北京市科技计划课题(Z141107002514102)

摘　　要：机器人外科是智能精准微创外科发展的成果,应用于甲状腺外科领域,取得了良好临床效果。我国《机器人手术系统辅助甲状腺和甲状旁腺手术专家共识(2016版)》的发布对机器人辅助甲状腺和甲状旁腺手术的规范化开展与临床推广起到了重要作用。随着临床实践的深入、微创理念的更新、机器人平台更新换代和技术不断改进,机器人甲状腺和甲状旁腺外科得到了进一步发展,尤其在适应证拓展、机器人外科医师培训和团队建设方面有了较大进步。在2016版专家共识的基础上,结合近年发表的相关论著及临床研究,专家组撰写了《机器人手术系统辅助甲状腺和甲状旁腺手术临床实践指南(2024版)》,从手术团队培养、手术适应证、术前评估、患者体位和空间建立、甲状腺腺叶切除步骤、颈部淋巴结清扫技巧等方面进行了总结推荐,并对再次手术、甲状旁腺手术及术后并发症的防治等方面提出了合理建议,以期更好地指导临床实践。The use of robotic operating systems is an advancement of intelligent precision,minimally invasive surgery.It has been used in the field of thyroid surgery with satisfactory results.Robotic surgery system assisted thyroid and parathyroid surgical expert consensus(2016)as played an important role in the standardization and clinical popularization of robotic surgical system-assisted thyroid and parathyroid surgery.With the deepening of clinical practice,updates in minimally invasive concept,the replacement of robotic platforms and the continuous improvement of technology,robotic thyroid and parathyroid surgery has been further developed.Notably,it has made substantial progress in expanding indications and the training of robotic surgeons and teams.Based on the 2016 Chinese expert consensus,combined with recent related articles and clinical studies,the Clinical Practice Guideline for Robotic Surgical System-Assisted Thyroid and Parathyroid Surgery(2024 edition)was formed.The surgical team training,indications,preoperative evaluation,patient position and space establishment,thyroidectomy procedures,neck lymph node dissection skills were summarized and recommended.Furthermore,reasonable suggestions on reoperation,parathyroid surgery and management of postoperative complications were also put forward,aiming to better guide clinical practice.

关 键 词：甲状腺疾病 甲状旁腺疾病 机器人甲状腺手术 机器人甲状旁腺手术 双侧腋窝乳晕入路 机器人外科医师 智能精准微创外科 指南 

分 类 号：R653[医药卫生—外科学]