Application of da Vinci robotic surgical system in thyroidectomy
10.3760/cma.j.issn.1674-6090.2016.01.007
- VernacularTitle:达芬奇机器人手术系统在甲状腺切除术中的应用
- Author:
Yinbin MA
;
Linjun FAN
;
Jun JIANG
;
Xiang CUI
;
Jing LIU
;
Xiaoping FAN
;
Haoyun ZHANG
- Publication Type:Journal Article
- Keywords:
Da Vinci robotic surgical system;
Thyroidectomy
- From:
Chinese Journal of Endocrine Surgery
2016;10(1):26-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the safety and effectiveness of robot-assisted thyroidectomy using Da Vinci system.Methods Endoscopic thyroidectomy assisted by Da Vinci system was performed in 20 patients,including 5 cases of thyroidadenoma,4 cases of nodular goiter,and 11 cases of thyroid carcinoma.The max diameter of thyroid lump is 5.33 cm.Among 9 cases of benign thyroid neoplasm,5 cases underwent unilateral subtotal lobectomy,and 4 cases underwent unilateral near total thyroidectomy.Among 11 cases of thyroid carcinoma,7 cases underwent bilateral near total thyroidectomy,and 4 cases underwent bilateral total thyroidectomy,at the same time,all the 11 cases underwent central region lymph node dissection.Results The robot-assisted endoscopic thymidectomy was successfully carried out in 20 cases.The mean operation time was 206.4 (105～372)min.The mean operative blood loss was 27.3 ml.The draining tube was moved 3 to 6 days after surgery.The mean postoperative hospital stay was 4.9 days.The mean hospital expense was 60 172 yuan RMB.No complication occurred.20 patients were satisfied with the cosmetic effect and compararive curative effect.Conclusions The robot-assisted endoscopic thymidectomy is an efective method for thyroid diseases.The methed can get more clear vision,higher safety,and good cosmetic efect.
