Transoral robotic-assisted thyroidectomy with central neck dissection: preclinical cadaver feasibility study and proposed surgical technique.
Transoral robotic-assisted thyroidectomy with central neck dissection: preclinical cadaver feasibility study and proposed surgical technique.
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DOI：
10.1007/s11701-011-0287-2
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发表时间：
2011-12
影响因子：
2.3
通讯作者：
Tufano, Ralph P
中科院分区：
文献类型：
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作者：
Richmon, Jeremy D;Holsinger, F Christopher;Kandil, Emad;Moore, Michael W;Garcia, Jose Armando;Tufano, Ralph P
最近，引入了一种经口机器人辅助技术进入甲状腺。尽管这种方法可能比其他微创和机器人辅助技术具有优势，但我们发现将摄像头放置在口腔底部会导致活动自由度受到限制。我们描述了对此技术的修改以克服这个问题。在一项使用两具新鲜人类尸体的研究中，达芬奇机器人的摄像头端口被放置在口腔前庭中线而不是口底。成功进行了经口甲状腺切除术和中央颈清扫术。我们的修改使中央颈部的视野不受限制，并允许进行甲状腺全切除术和中央颈部解剖。与其他机器人辅助甲状腺切除术技术相比，我们对经口机器人辅助甲状腺切除术的改进提供了更好的进入颈部中央室的通道。本文的在线版本 (doi:10.1007/s11701-011-0287-2) 包含补充材料，可供授权用户使用。
Recently, a transoral robotic-assisted technique to access the thyroid gland has been introduced. Despite the advantages this approach may have over other minimally invasive and robotic-assisted techniques, we found that the placement of the camera through the floor of mouth led to restricted freedom of movement. We describe our modification to this technique to overcome this problem. In a study using two fresh human cadavers, the camera port of the da Vinci robot was placed in the midline oral vestibule instead of the floor of the mouth. A transoral thyroidectomy and central neck dissection was successfully performed. Our modification led to an unfettered view of the central neck and allowed for a total thyroidectomy and central neck dissection. Our modification of transoral robotic-assisted thyroidectomy provides superior access to the central compartment of the neck over other robotic-assisted thyroidectomy techniques. The online version of this article (doi:10.1007/s11701-011-0287-2) contains supplementary material, which is available to authorized users.