达芬奇机器人手术在青年男性甲状腺癌患者中的疗效及安全性分析  

Analysis of the efficacy and safety of Da Vinci robotic surgery in young males with thyroid cancer

作　　者：杨纳存 徐晓帆 顾军 YANG Nacun;XU Xiaofan;GU Jun(Department of General Surgery,Jinling Hospital,Affiliated Hospital of Medical School,Nanjing University/Gener-al Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China)

机构地区：[1]南京大学医学院附属金陵医院(东部战区总医院)普通外科研究所,南京210002

出　　处：《医学研究与战创伤救治》2025年第3期268-272,共5页Journal of Medical Research & Combat Trauma Care

基　　金：东部战区总医院院管课题(22LCZLXJS33)。

摘　　要：目的评估达芬奇机器人手术系统应用于青年男性甲状腺癌患者中的疗效和安全性。方法收集2022年5月至2024年4月于东部战区总医院普通外科研究所行达芬奇机器人甲状腺手术或传统开放手术的223例青年男性甲状腺癌患者的临床资料。根据手术方法分为机器人组(n=106)和开放组(n=117)。分析比较两组患者的年龄、BMI、术前甲状腺癌高危病史、术前甲状腺功能异常情况等基线资料;患者的手术时间、术后住院时间、淋巴结清扫数目、术区引流量等手术指标及并发症的发生情况。并于术后3个月进行美容效果满意评分。结果所有患者均成功完成手术。机器人组平均手术时间长于开放组(P<0.05),其他手术指标差异无统计学意义(P>0.05)。两组总体并发症发生率差异无统计学意义(P>0.05),均未出现术后出血、局部血肿、乳糜漏等其他并发症。机器人组患者术后切口满意评分高于开放组[(8.46±0.79)vs(7.47±0.82)],差异具有统计学意义(P<0.001)。结论达芬奇机器人辅助手术治疗男性甲状腺癌患者在疗效及安全性方面与开放手术无明显差异,且在美容效果上更具优势。Objective This study aims to evaluate the surgical efficacy and safety of the Da Vinci Robotic Surgical System in young males with thyroid cancer.Methods The clinical data of 223 young male with thyroid cancer who underwent Da Vinci robotic thyroid surgery or traditional open surgery at the Jinling Hospital of Nanjing University from May 2022 to April 2024 were collected.According to the surgical method,the patients were divided into a robotic thyroidectomy group(n=106)and an open thyroidectomy group(n=117).Baseline data such as age,BMI,history of high-risk thyroid cancer,and preoperative thyroid dysfunction were ana-lyzed and compared between the two groups.Surgical indicators including operation time,postoperative hospital stay,number of lymph nodes dissected,and surgical drainage volume,as well as the occurrence of complications were also analyzed.A cosmetic satisfaction score was conducted 3 months after the surgery.Results All patients successfully completed the surgery.The average operation time in the robot group was longer than that in the open group(P<0.05),while other surgical indicators showed no significant differences(P>0.05).There was no statistically significant difference in the overall complication rate between the two groups(P>0.05),and no other complications such as postoperative bleeding,local hematoma,or chyle leakage occurred.The postoperative incision satisfaction score of the robotic group was higher than that of the open group[(8.46±0.79)vs(7.47±0.82)](P<0.01).Conclusion Da Vinci robot-assisted surgery for male thyroid cancer patients has no significant differences in efficacy and safety compared with open sur-gery and also offers superior cosmetic results.

关 键 词：机器人手术系统 双侧腋乳入路 甲状腺癌 青年男性 

分 类 号：R736.1[医药卫生—肿瘤]