摘要
本研究进行新型光纤C02激光（CO2 laser wave guide，LWG）机器人外科手术（transoral robotic surgery，TORS）可行性分析，纳入年龄大于18岁的恶性头颈肿瘤患者共4例。分别患T1期舌底癌，T1及T2期声门上型喉癌，扁桃体癌，平均年龄56岁，400均已签署知情同意书。手术器械包括马里兰分离钳，0°内镜，光纤CO2激光机器人手术臂。激光参数如下：超脉；中或连续波模式，功率7～15W，连续曝光，平均准备时间30min，平均手术时间94min，每台手术使用一根光纤，平均组织凝固深度200μm（范围：100-300μm）。术中均未出现并发症，平均住院时间6d。光纤CO2激光对于机器人外科手术是一个可靠引导工具，它可使手术时间缩短1h有余而不带来负面后果。
We present a series of patients treated by transoral robotic surgery （transoral robotic surgery, TORS） using a new CO2 laser wave guide （CO2 laser wave guide, LWG） . Patients older than 18 years, with malignant pharyngolaryngeal tumors were enrolled in this prospective study after signing an informed consent. Four patients wereenrolled in the study. The mean age was 56 years. One patient had a T1 base of tongue tumor, two patients had supraglottic tumors （T1, T2） , and one had a T1 palatine tonsil tumor. All the procedures could be performed using a Maryland forceps, a 0μ endoscope and a CO2 LWG introduced via the robotic arm introducer. The laser parameters were： superpulse or continuous mode, 7-15 W, continuous delivery. The average set-up time was 30 min. The average surgical time was 94 min. No complications were noted due to the intraoperative use of the robot or the CO2 LWG. One laser fiber was used for each of the surgeries. The mean coagulation depth was 200 Im （range 100-300） . The mean hospital stay was 6 days. The CO2 LWG is a reliable tool for TORS. It allowed more than 1 h of work without any trouble.
出处
《中国医学文摘（耳鼻咽喉科学）》
2014年第6期342-345,共4页
Chinese Medical Digest(Otorhinolaryngology)
