Complications of Da Vinci robot thyroid surgery by bilateral axillo-breast approach.
10.3760/cma.j.cn115330-20200824-00691
- VernacularTitle:双侧腋窝乳晕入路达芬奇机器人甲状腺手术并发症特征分析
- Author:
Dan WANG
1
;
Qing Qing HE
1
;
Jian ZHU
1
;
Chang Rui LIU
1
;
Peng ZHOU
1
;
Gang WANG
1
;
Tao YUE
1
;
Fei LIN
1
;
Xian Jiao CAO
1
Author Information
1. Department of Thyroid and Breast Surgery, the 960th Hospital of the People's Liberation Army of China, Jinan 250031, China.
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Axilla;
Breast Neoplasms;
Carcinoma, Papillary/surgery*;
Child;
Female;
Humans;
Male;
Middle Aged;
Neck Dissection;
Retrospective Studies;
Robotic Surgical Procedures;
Robotics;
Thyroid Neoplasms/surgery*;
Thyroidectomy/adverse effects*;
Young Adult
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2021;56(4):363-368
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the complications of Da Vinci robotic thyroid surgery by bilateral axillo-breast approach. Methods: A retrospective analysis of complications was conducted on 1, 198 cases of Da Vinci robotic thyroid surgery by bilateral axillo-breast approach of the 960 th Hospital of the People's Liberation Army from February 2014 to March 2020. There were 263 men and 935 women, age ranged from 9 to 68 years old, and included 288 benign lesions and 910 malignancies according to preoperative imaging examination, FNAC, and intraoperative frozen pathology. Results: Surgical complications occurred in 187 (15.61%) patients, including 10 cases of temporary larynx nerve injury (0.83%), 1 case of permanent larynx nerve injury (0.08%), and 152 cases of temporary hypoparathyroidism (12.69%), no permanent hypoparathyroidism, 1 case of hypoglossal injury (0.08%), 2 cases of facial nerve jaw branch damage (0.17%), 2 cases of trachea injury (0.17%), no esophagus damage, 5 cases of celiac leakage (0.42%), 3 cases of neck skin adhesion (0.25%), 2 cases of subdermal bleeding (0.17%), 2 cases of skin burns (0.17%), 5 cases of hematoma (0.42%), 1 case of cephalic artery rupture (0.08%), 1 case of jugular vein rupture (0.08%), no tumor cultivation, no arm plex nerve, accessory nerve or phrenic nerve damage. Conclusion: Da Vinci robot thyroid surgery by bilateral axillo-breast approach is safe, with less severe complications.
