经口入路机器人甲状腺手术的研究进展

Advances on robotic transoral thyroid surgery

近年来,甲状腺疾病的发病率逐年上升,其中青年女性患者占较大比例。随着年轻患者对美容的要求提高,多种入路的内镜甲状腺手术已广泛成功开展。这些术式尽管避免了在颈部做切口,并取得了较好的美容效果,但不可避免地在其他部位留下切口瘢痕。经口入路手术被认为是真正无痕的手术,具有更好的美容效果,随着近年来达芬奇手术系统的不断完善,经口入路机器人甲状腺手术也取得较大发展。与其他术式相比,经口入路机器人甲状腺手术具有多种优势,如提供中线入路、最低程度地减少组织损伤、3D高清放大视野、手臂震颤过滤及7个自由度Endo-wrist等。因此,本综述对近年来经口机器人甲状腺手术的研究进展进行总结,为临床甲状腺疾病的治疗提供学习借鉴。

The incidence of thyroid diseases had increased in recent years,among which young female patients account for a large proportion.Endoscopic thyroid surgery with different approaches had been created to meet the increased need for better appearance in young patients.These procedures can achieve good cosmetic results by avoiding neck in cision,but inevitably leave incision scars on other parts of the body.Transoral approach is considered to be a true scarless operation with better cosmetic effects.Moreover,robotic transoral thyroid surgery had made great progress due to the continuous improvement of da Vinci surgical system in recent years.Compared with other methods,robotic transoral thyroid surgery has many advantages,such as midline approach,less tissue anatomy,magnified three-dimensional view,tremor-filtration and Endo-wrist with seven degrees of freedom.This study aims to review the research progress in robotic transoral thyroid surgeries to provide references for into the treatment of thyroid diseases.