Clinical Experience of Use of Percutaneous Continuous Nervemonitoring in Robotic Bilateral Axillo-Breast Thyroid Surgery.
Clinical Experience of Use of Percutaneous Continuous Nervemonitoring in Robotic Bilateral Axillo-Breast Thyroid Surgery.
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DOI：
10.3389/fendo.2021.817026
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发表时间：
2021
影响因子：
5.2
通讯作者：
Sun H
中科院分区：
文献类型：
--
作者：
Zhang D;Wang C;Wang T;Du R;Li K;Yang M;Xue G;Dionigi G;Sun H
在机器人手术中，需要一种用于C-IONM的简化技术。本研究的主要目的是描述我们在机器人双侧腋窝甲状腺手术中使用经皮C-IONM的临床经验。本研究前瞻性入组了304例连续患者，这些患者通过双侧腋窝-乳房入路接受机器人甲状腺切除术，并通过经皮探头刺激进行标准化C-IONM。分析了323个RLN。经皮穿刺C-IONM在所有病例中均可行。在本研究期间，我们没有记录任何穿刺针移位的病例，也不需要额外的机器人操作。平均刺激强度为2 mA。没有不良的局部或全身C-IONM副作用。探针定位所需的平均时间为3分钟。48个RLN的肌电振幅信号明显下降，与原始V1信号相比下降< 50%。在这些情况下，修改了手术程序。所提出的经皮C-IONM为机器人提供了连续监测程序的简化。经皮C-IONM的优点是它不需要额外的穿刺器空间，不需要重复更换手术工具，也不需要修改外观。据我们所知，这是第一项关于经皮C-IONM在机器人甲状腺手术中应用的研究。
There is a need for a simplified technique for C-IONM in robotic surgery. The primary aim of this study was to describe our clinical experience with the use of percutaneous C-IONM in robotic bilateral axillary thyroid surgery. This study prospectively enrolled 304 consecutive patients who underwent robotic thyroidectomy via the bilateral axillo-breast approach and standardized C-IONM via percutaneous probe stimulation. 323 RLNs were analyzed. C-IONM with percutaneous probes was feasible in all cases. During this study, we did not record any cases of probe displacement, and no additional robotic maneuvers were required. The average stimulation intensity was 2 mA. There were no adverse local or systemic C-IONM side effects. The mean time required for probe positioning was 3 minutes. The EMG amplitude signal of 48 RLNs decreased significantly, < 50% from the original V1 signal. In these cases, the surgical procedure was modified. The proposed percutaneous C-IONM provides a simplification of the continuous monitoring procedure for robotics. The advantage of percutaneous C-IONM is that it does not require additional trocar space, repeated instrument changes, and unmodified cosmesis. To our knowledge, this is the first study on the application of percutaneous C-IONM in robotic thyroid surgery.
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影响因子：
3.4
作者：
SMITH, DB;WOODY, EA;BLAKESLEE, DB
通讯作者：
BLAKESLEE, DB
影响因子：
2.6
作者：
Chiang, Feng-Yu;Lu, I-Cheng;Wu, Che-Wei
通讯作者：
Wu, Che-Wei
DOI：
10.1002/hed.24280
发表时间：
2016-04-01
影响因子：
2.9
作者：
Mangano, Alberto;Kim, Hoon Yub;Dionigi, Gianlorenzo
通讯作者：
Dionigi, Gianlorenzo
DOI：
10.1007/s00464-019-07113-1
发表时间：
2020-08-01
影响因子：
3.1
作者：
Lee, Dong Won;Ko, Seok Hwa;Tae, Kyung
通讯作者：
Tae, Kyung
DOI：
10.1002/hed.23154
发表时间：
2013-10-01
影响因子：
2.9
作者：
Wu, Che-Wei;Dionigi, Gianlorenzo;Chiang, Feng-Yu
通讯作者：
Chiang, Feng-Yu