腔镜甲状腺手术入路研究进展

Progress of Thyroid Cancer Therapy in Laparoscopic Surgery

内镜应用于临床已经二十余年,内镜新技术的发展和应用,使外科领域发生了翻天覆地的变化,微创腔镜辅助和完全腔镜下甲状腺手术迅速发展,许多外科医师已经成功开展了腔镜下甲状腺癌根治术,并尝试应用达芬奇机器人手术治疗甲状腺癌,取得了很好的效果,但达芬奇手术和腔镜手术的孰优孰劣还需要大样本和随机对照研究,临床上仍有许多亟待解决的问题。

Over the last decade, surgeons have witnessed dramatic changes in surgical practice as a result of the introduction of new endoscopy technologies or technological advancement. The minimally invasive video-assisted thyroideetomy （MIVAT） and endoscopic thyroidectomy are developed quickly. Many surgeons can do the operation of radical thyroidectomy with endoscopy or da Vinci system and get good results. Better comparative studies such as a randomized controlled trial between robotic-assisted and endoscopic thyroidectomy are needed in order to better assess the added patient outcome benefits over the latter approach. Many clinical questions are still undetermined.