机器人甲状腺手术相关并发症研究进展—TORT与BABA入路对比分析

Research progress of complications related to robotic thyroid surgery-comparison of TORT and BABA approaches

近年来随着达芬奇手术系统的不断完善,机器人甲状腺手术已逐步在临床推广应用。与传统开放手术不同,机器人甲状腺手术多采用远程入路方式,具有3D高清放大视野、过滤手部颤动等诸多优势,其中最具代表性的入路方式为经口及经双侧乳晕腋窝入路。因二者入路方式不同,术中观察视角及术中操作顺序也不尽相同,故术后并发症发生比率及原因也存在较大差异。本文统计机器人甲状腺手术开展至今经口及经双侧乳晕腋窝入路报道术后并发症的文献,重点围绕两种入路下共有的喉返神经损伤、甲状旁腺功能减退等5种常见并发症进行对比总结分析,为机器人甲状腺手术更加规范化开展提供理论支持。

In recent years,clinical applications of robotic thyroid surgery have been gradually promoted with the continuous improvement of the da Vinci robotic surgical system.Unlike traditional open surgery,robotic thyroid surgery mainly adopts remote access,which has many advantages,such as magnified high-definition 3D view and hand vibration stabilization.The rates and causes of postoperative complications differ due to different approaches,view angles,and operation sequences.This paper presents the literature on both transoral and bilateral areolar axillary approaches in robotic thyroid surgery,focusing on five common complications under both approaches,including laryngeal recurrent nerve injury and hypoparathyroidism,to provide theoretical support for the standardization of robotic thyroid surgery.