规范达芬奇机器人外科手术系统在甲状腺手术中的应用

The rational application of Da Vinci surgical system in thyroidectomy

达芬奇机器人外科手术系统已广泛应用于心脏外科、泌尿外科、妇科及普通外科手术中,在甲状腺外科领域虽起步较晚,但呈蓬勃发展的态势.根据国际上的研究进展及实践经验,对于经过严格选择的甲状腺癌患者,机器人外科手术系统辅助甲状腺手术具有与传统开放手术同样的手术安全性和有效性.本文对机器人外科手术系统辅助甲状腺手术的手术指征、禁忌证的把握,手术入路、手术流程及手术并发症的处理等问题进行系统阐述,以促进机器人外科手术系统在甲状腺外科的规范化应用和发展,更加合理、有效地应对当前面临的挑战.

Da Vinci surgical system is the most advanced minimally invasive surgical platform in the world,and this system has been widely used in cardiac surgery,urology surgery,gynecologic surgery and general surgery.Although the application of this system was relatively late in thyroid surgery,the number of thyroidectomy with Da Vinci surgical system is increasing quickly.Having reviewed recent studies and summarized clinical experience,compared with traditional open operation,the robotic thyroidectomy has the same surgical safety and effectiveness in selective patients with thyroid cancer.In this paper,several aspects on this novel operation were demonstrated,including surgical indications and contraindications,the approaches,surgical procedures and postoperative complications,in order to promote the rational application of Da Vinci surgical system in thyroidectomy.