达芬奇机器人甲状腺手术的研究进展
摘要
近年随着国内外内镜技术及微创理念的不断发展,达芬奇机器人手术系统逐步应用于外科手术中,是目前外科发展趋势中的创新技术,代表了目前最先进的手术理念与技术发展,已广泛应用于泌尿外科、心脏外科、胃肠外科等手术中。虽然在甲状腺外科的应用较晚,但机器人甲状腺手术结合了传统手术与腔镜手术的优势,不仅避免了患者颈部永久性瘢痕,还克服了腔镜手术的技术局限性,可提供放大的三维高清图像、稳定的手术视野及精细灵活的操作,越来越多的被外科医师及患者所接受。达芬奇机器人甲状腺手术尚处于起步阶段,仍存在一定的挑战与障碍。本文现对达芬奇机器人甲状腺手术的研究进展作一综述,为临床工作提供一定的参考。
引文
[1] 中华医学会放射学分会头颈学组.甲状腺结节影像检查流程专家共识[S].中华放射学杂志,2016,50(12):911-915.
[2] Siegel RL,Miller KD,Jemal A.Cancer statistics,2018[J].CA Cancer J Clin,2018,60(1):7-30.
[3] Kwak HY,Kim HY,Lee HY,et al.Robotic thyroidectomy using bilateral axillo-breast approach:Comparison of surgical results with open conventional thyroidectomy[J].J Surg Oncol,2015,111(2):141-145.
[4] Hüscher CS,Chiodini S,Napolitano C,et al.Endoscopic right thyroid lobectomy[J].Surg Endosc,1997,11(8):877.
[5] 王平,谢秋萍.腔镜甲状腺手术临床应用争议和共识[J].中国实用外科杂志,2015,35(1):76-78.
[6] Kim WW,Jung JH,Park HY.A single surgeon's experience and surgical outcomes of 300 robotic thyroid surgeries using a bilateral axillo-breast approach[J].J Surg Oncol,2015,111(2):135-140.
[7] Wang YC,Liu K,Xiong JJ,et al.Robotic thyroidectomy versus conventional open thyroidectomy for differentiated thyroid cancer:meta-analysis[J].J Laryngol Otol,2015,129(6):558-567.
[8] 贺青卿,朱见,范子义,等.达芬奇机器人腋乳径路与传统开放手术治疗甲状腺微小癌的对照研究[J].中华外科杂志,2016,54(1):51-55.
[9] Kang SW,Jeong JJ,Yun JS,et al.Robot-assisted endoscopic surgery for thyroid cancer:experience with the first 100 patients[J].Surg Endosc,2009,23(11):2399-2406.
[10] Liu HH,Li LJ,Shi B,et al.Robotic surgical systems in maxillofacial surgery:a review[J].Int J Oral Sci,2017,9(2):63-73.
[11] Talamini M,Campbell K,Stanfield C.Robotic gastrointestinal surgery:early experience and system description[J].J Laparoendosc Adv Surg Tech A,2002,12(4):225-232.
[12] BBerber E,Bernet V,Fahey TJ 3rd,et al.American Thyroid Association Statement on Remote-Access Thyroid Surgery[J].Thyroid,2016,26(3):331-337.
[13] Kandil EH,Noureldine SI,Yao L,et al.Robotic transaxillary thyroidectomy:an examination of the first one hundred cases[J].J Am Coll Surg,2012,214(4):558-556.
[14] Kang SW,Park JH,Jeong JS,et al.A comparative study of the surgical outcomes of robotic and conventional open modified radical neck dissection for papillary thyroid carcinoma with lateral neck node metastasis[J].Surg Endosc,2012,26(11):3251-3257.
[15] Kwon H,Yi JW,Song RY,et al.Comparison of Bilateral Axillo-Breast Approach Robotic Thyroidectomy with Open Thyroidectomy for Graves' Disease[J].World J Surg,2016,40(3):498-504.
[16] 贺青卿,朱见,范子义,等.达芬奇机器人行甲状腺癌颈侧区清扫的临床研究[J/CD].中华腔镜外科杂志(电子版),2016,9(4):212-216.
[17] 田文,贺青卿,朱见,等.机器人手术系统辅助甲状腺和甲状旁腺手术专家共识[J].中国实用外科杂志,2016,36(11):1165-1170.
[18] 李小磊,朱见,王梦迪,等.达芬奇机器人治疗肿瘤直径大于2 cm甲状腺癌的临床研究[J/CD].中华腔镜外科杂志(电子版),2018,11(4):216-219.
[19] Chai YJ,Suh H,Woo JW,et al.Surgical safety and oncological completeness of robotic thyroidectomy for thyroid carcinoma larger than 2 cm[J].Surg Endosc,2017,31(3):1235-1240.
[20] Paek SH,Kang KH.Robotic thyroidectomy and cervical neck dissection for thyroid cancer[J].Gland Surg,2016,5(3):342-351.
[21] Choi JY,Kang KH.Robotic modified radical neck dissection with bilateral axillo-breast approach[J].Gland Surg,2017,6(3):243-249.
[22] Orloff LA,Wiseman SM,Bernet VJ,et al.American Thyroid Association Statement on Postoperative Hypoparathyroidism:Diagnosis,Prevention,and Management in Adults[J].Thyroid,2018,28(7):830-841.
[23] Sung ES,Ji YB,Song CM,et al.Robotic Thyroidectomy:Comparison of a Postauricular Facelift Approach with a Gasless Unilateral Axillary Approach[J].Otolaryngol Head Neck Surg,2016,154(6):997-1004.
[24] 贺青卿.规范达芬奇机器人外科手术系统在甲状腺手术中的应用[J].中华外科杂志,2017,55(8):570-573.
[25] Lee KE,Kim E,Koo DH,et al.Robotic thyroidectomy by bilateral axillo-breast approach:review of 1,026 cases and surgical completeness[J].Surg Endosc,2013,27(8):2955-2962.
[26] Kang SW,Lee SC,Lee SH,et al.Robotic thyroid surgery using a gasless,transaxillary approach and the da Vinci S system:the operative outcomes of 338 consecutive patients[J].Surgery,2009,146(6):1048-1055.
[27] Kang SW,Jeong JJ,Nam KH,et al.Robot-assisted endoscopic thyroidectomy for thyroid malignancies using a gasless transaxillary approach[J].J Am Coll Surg,2009,209(2):e1-7.
[28] Tae K,Ji YB,Cho S,et al.Early surgical outcomes of robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach for papillary thyroid carcinoma:2 years’ experience[J].Head Neck,2012,34(5):617-625.
[29] Jackson NR,Yao L,Tufano RP,et al.Safety of robotic thyroidectomy approaches:meta-analysis and systematic review[J].Head Neck,2014,36(1):137-143.
[30] Lallemant B,Chambon G,Galy-Bernadoy C,et al.Transaxillary robotic thyroid surgery:a preliminary European experience[J].Eur Thyroid J,2013,2(2):110-115.
[31] Lee HY,You JY,Woo SU,et al.Transoral periosteal thyroidectomy:cadaver to human[J].Surg Endosc,2015,29(4):898-904.
[32] Kim HY.Transoral Robotic Thyroidectomy[J].Curr Surg Rep,2017,5:19.
[33] Richmon JD,Kim HY.Transoral robotic thyroidectomy (TORT):procedures and outcomes[J].Gland Surg,2017,6(3):285-289.
[34] Kim HY,Chai YJ,Dionigi G,et al.Transoral robotic thyroidectomy:lessons learned from an initial consecutive series of 24 patients[J].Surg Endosc,2018,32(2):688-694.
[35] Terris DJ,Singer MC,Seybt MW.Robotic facelift thyroidectomy:II.Clinical feasibility and safety[J].Laryngoscope,2011,121(8):1636-1641.
[36] Cho JN,Park WS,Min SY,et al.Surgical outcomes of robotic thyroidectomy vs.conventional open thyroidectomy for papillary thyroid carcinoma[J].World J Surg Oncol,2016,14(1):181.
[37] Pan JH,Zhou H,Zhao XX,et al.Robotic thyroidectomy versus conventional open thyroidectomy for thyroid cancer:a systematic review and meta-analysis[J].Surg Endosc,2017,31(10):3985-4001.
[38] Kandil E,Hammad AY,Walvekar RR,et al.Robotic Thyroidectomy Versus Nonrobotic Approaches:A Meta-Analysis Examining Surgical Outcomes[J].Surg Innov,2016,23(3):317-325.
[39] Lang BH,Wong CK,Tsang JS,et al.A systematic review and meta-analysis comparing surgically-related complications between robotic-assisted thyroidectomy and conventional open thyroidectomy[J].Ann Surg Oncol,2014,21(3):850-861.
[40] Kuppersmith RB,Holsinger FC.Robotic thyroid surgery:an initial experience with North American patients[J].Laryngoscope,2011,121(3):521-526.
[41] Kim KN,Lee DW,Kim JY,et al.Carbon dioxide embolism during transoral robotic thyroidectomy:A case report[J].Head Neck,2018,40(3):E25-E28.
[42] Liu SY,Ng EK.Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer:An Evidence-Based Review[J].Int J Endocrinol,2016,2016:4309087.
[43] Song CM,Jang YI,Ji YB,et al.Factors affecting operative time in robotic thyroidectomy[J].Head Neck,2018,40(5):893-903.
[44] Tae K,Song CM,Ji YB,et al.Comparison of surgical completeness between robotic total thyroidectomy versus open thyroidectomy[J].Laryngoscope,2014,124(4):1042-1047.
[45] Lee KE,Koo do H,Im HJ,et al.Surgical completeness of bilateral axillo-breast approach robotic thyroidectomy:comparison with conventional open thyroidectomy after propensity score matching[J].Surgery,2011,150(6):1266-1274.
[46] Lang BH,Wong CK,Tsang JS,et al.A systematic review and meta-analysis evaluating completeness and outcomes of robotic thyroidectomy[J].Laryngoscope,2015,125(2):509-518.
[47] Tae K,Song CM,Ji YB,et al.Oncologic outcomes of robotic thyroidectomy:5-year experience with propensity score matching[J].Surg Endosc,2016,30(11):4785-4792.
[48] Lee SG,Lee J,Kim MJ,et al.Long-term oncologic outcome of robotic versus open total thyroidectomy in PTC:a case-matched retrospective study[J].Surg Endosc,2015,30(8):3474-3479.
[49] Van Lierde K,D'Haeseleer E,Wuyts FL,et al.Impact of thyroidectomy without laryngeal nerve injury on vocal quality characteristics:an objective multiparameter approach[J].Laryngoscope,2010,120(2):338-345.
[50] Tae K,Kim KY,Yun BR,et al.Functional voice and swallowing outcomes after robotic thyroidectomy by a gasless unilateral axillo-breast approach:comparison with open thyroidectomy[J].Surg Endosc,2012,26(7):1871-1877.
[51] Lee J,Nah KY,Kim RM,et al.Differences in postoperative outcomes,function,and cosmesis:open versus robotic thyroidectomy[J].Surg Endosc,2010,24(12):3186-3194.
[52] Song CM,Ji YB,Bang HS,et al.Long-term sensory disturbance and discomfort after robotic thyroidectomy[J].World J Surg,2014,38(7):1743-1748.
[53] Kim JH,Park JW,Gong HS.Axillary web syndrome after transaxillary robotic thyroidectomy[J].J Robot Surg,2014,8(3):281-283.
[54] Kwak DH,Kim WS,Kim HK,et al.A Band-Like Neck Scar Contracture after Bilateral Axillo-Breast Approach Robotic Thyroidectomy[J].Arch Plast Surg,2016,43(6):614-615.
[2] Siegel RL,Miller KD,Jemal A.Cancer statistics,2018[J].CA Cancer J Clin,2018,60(1):7-30.
[3] Kwak HY,Kim HY,Lee HY,et al.Robotic thyroidectomy using bilateral axillo-breast approach:Comparison of surgical results with open conventional thyroidectomy[J].J Surg Oncol,2015,111(2):141-145.
[4] Hüscher CS,Chiodini S,Napolitano C,et al.Endoscopic right thyroid lobectomy[J].Surg Endosc,1997,11(8):877.
[5] 王平,谢秋萍.腔镜甲状腺手术临床应用争议和共识[J].中国实用外科杂志,2015,35(1):76-78.
[6] Kim WW,Jung JH,Park HY.A single surgeon's experience and surgical outcomes of 300 robotic thyroid surgeries using a bilateral axillo-breast approach[J].J Surg Oncol,2015,111(2):135-140.
[7] Wang YC,Liu K,Xiong JJ,et al.Robotic thyroidectomy versus conventional open thyroidectomy for differentiated thyroid cancer:meta-analysis[J].J Laryngol Otol,2015,129(6):558-567.
[8] 贺青卿,朱见,范子义,等.达芬奇机器人腋乳径路与传统开放手术治疗甲状腺微小癌的对照研究[J].中华外科杂志,2016,54(1):51-55.
[9] Kang SW,Jeong JJ,Yun JS,et al.Robot-assisted endoscopic surgery for thyroid cancer:experience with the first 100 patients[J].Surg Endosc,2009,23(11):2399-2406.
[10] Liu HH,Li LJ,Shi B,et al.Robotic surgical systems in maxillofacial surgery:a review[J].Int J Oral Sci,2017,9(2):63-73.
[11] Talamini M,Campbell K,Stanfield C.Robotic gastrointestinal surgery:early experience and system description[J].J Laparoendosc Adv Surg Tech A,2002,12(4):225-232.
[12] BBerber E,Bernet V,Fahey TJ 3rd,et al.American Thyroid Association Statement on Remote-Access Thyroid Surgery[J].Thyroid,2016,26(3):331-337.
[13] Kandil EH,Noureldine SI,Yao L,et al.Robotic transaxillary thyroidectomy:an examination of the first one hundred cases[J].J Am Coll Surg,2012,214(4):558-556.
[14] Kang SW,Park JH,Jeong JS,et al.A comparative study of the surgical outcomes of robotic and conventional open modified radical neck dissection for papillary thyroid carcinoma with lateral neck node metastasis[J].Surg Endosc,2012,26(11):3251-3257.
[15] Kwon H,Yi JW,Song RY,et al.Comparison of Bilateral Axillo-Breast Approach Robotic Thyroidectomy with Open Thyroidectomy for Graves' Disease[J].World J Surg,2016,40(3):498-504.
[16] 贺青卿,朱见,范子义,等.达芬奇机器人行甲状腺癌颈侧区清扫的临床研究[J/CD].中华腔镜外科杂志(电子版),2016,9(4):212-216.
[17] 田文,贺青卿,朱见,等.机器人手术系统辅助甲状腺和甲状旁腺手术专家共识[J].中国实用外科杂志,2016,36(11):1165-1170.
[18] 李小磊,朱见,王梦迪,等.达芬奇机器人治疗肿瘤直径大于2 cm甲状腺癌的临床研究[J/CD].中华腔镜外科杂志(电子版),2018,11(4):216-219.
[19] Chai YJ,Suh H,Woo JW,et al.Surgical safety and oncological completeness of robotic thyroidectomy for thyroid carcinoma larger than 2 cm[J].Surg Endosc,2017,31(3):1235-1240.
[20] Paek SH,Kang KH.Robotic thyroidectomy and cervical neck dissection for thyroid cancer[J].Gland Surg,2016,5(3):342-351.
[21] Choi JY,Kang KH.Robotic modified radical neck dissection with bilateral axillo-breast approach[J].Gland Surg,2017,6(3):243-249.
[22] Orloff LA,Wiseman SM,Bernet VJ,et al.American Thyroid Association Statement on Postoperative Hypoparathyroidism:Diagnosis,Prevention,and Management in Adults[J].Thyroid,2018,28(7):830-841.
[23] Sung ES,Ji YB,Song CM,et al.Robotic Thyroidectomy:Comparison of a Postauricular Facelift Approach with a Gasless Unilateral Axillary Approach[J].Otolaryngol Head Neck Surg,2016,154(6):997-1004.
[24] 贺青卿.规范达芬奇机器人外科手术系统在甲状腺手术中的应用[J].中华外科杂志,2017,55(8):570-573.
[25] Lee KE,Kim E,Koo DH,et al.Robotic thyroidectomy by bilateral axillo-breast approach:review of 1,026 cases and surgical completeness[J].Surg Endosc,2013,27(8):2955-2962.
[26] Kang SW,Lee SC,Lee SH,et al.Robotic thyroid surgery using a gasless,transaxillary approach and the da Vinci S system:the operative outcomes of 338 consecutive patients[J].Surgery,2009,146(6):1048-1055.
[27] Kang SW,Jeong JJ,Nam KH,et al.Robot-assisted endoscopic thyroidectomy for thyroid malignancies using a gasless transaxillary approach[J].J Am Coll Surg,2009,209(2):e1-7.
[28] Tae K,Ji YB,Cho S,et al.Early surgical outcomes of robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach for papillary thyroid carcinoma:2 years’ experience[J].Head Neck,2012,34(5):617-625.
[29] Jackson NR,Yao L,Tufano RP,et al.Safety of robotic thyroidectomy approaches:meta-analysis and systematic review[J].Head Neck,2014,36(1):137-143.
[30] Lallemant B,Chambon G,Galy-Bernadoy C,et al.Transaxillary robotic thyroid surgery:a preliminary European experience[J].Eur Thyroid J,2013,2(2):110-115.
[31] Lee HY,You JY,Woo SU,et al.Transoral periosteal thyroidectomy:cadaver to human[J].Surg Endosc,2015,29(4):898-904.
[32] Kim HY.Transoral Robotic Thyroidectomy[J].Curr Surg Rep,2017,5:19.
[33] Richmon JD,Kim HY.Transoral robotic thyroidectomy (TORT):procedures and outcomes[J].Gland Surg,2017,6(3):285-289.
[34] Kim HY,Chai YJ,Dionigi G,et al.Transoral robotic thyroidectomy:lessons learned from an initial consecutive series of 24 patients[J].Surg Endosc,2018,32(2):688-694.
[35] Terris DJ,Singer MC,Seybt MW.Robotic facelift thyroidectomy:II.Clinical feasibility and safety[J].Laryngoscope,2011,121(8):1636-1641.
[36] Cho JN,Park WS,Min SY,et al.Surgical outcomes of robotic thyroidectomy vs.conventional open thyroidectomy for papillary thyroid carcinoma[J].World J Surg Oncol,2016,14(1):181.
[37] Pan JH,Zhou H,Zhao XX,et al.Robotic thyroidectomy versus conventional open thyroidectomy for thyroid cancer:a systematic review and meta-analysis[J].Surg Endosc,2017,31(10):3985-4001.
[38] Kandil E,Hammad AY,Walvekar RR,et al.Robotic Thyroidectomy Versus Nonrobotic Approaches:A Meta-Analysis Examining Surgical Outcomes[J].Surg Innov,2016,23(3):317-325.
[39] Lang BH,Wong CK,Tsang JS,et al.A systematic review and meta-analysis comparing surgically-related complications between robotic-assisted thyroidectomy and conventional open thyroidectomy[J].Ann Surg Oncol,2014,21(3):850-861.
[40] Kuppersmith RB,Holsinger FC.Robotic thyroid surgery:an initial experience with North American patients[J].Laryngoscope,2011,121(3):521-526.
[41] Kim KN,Lee DW,Kim JY,et al.Carbon dioxide embolism during transoral robotic thyroidectomy:A case report[J].Head Neck,2018,40(3):E25-E28.
[42] Liu SY,Ng EK.Robotic versus Open Thyroidectomy for Differentiated Thyroid Cancer:An Evidence-Based Review[J].Int J Endocrinol,2016,2016:4309087.
[43] Song CM,Jang YI,Ji YB,et al.Factors affecting operative time in robotic thyroidectomy[J].Head Neck,2018,40(5):893-903.
[44] Tae K,Song CM,Ji YB,et al.Comparison of surgical completeness between robotic total thyroidectomy versus open thyroidectomy[J].Laryngoscope,2014,124(4):1042-1047.
[45] Lee KE,Koo do H,Im HJ,et al.Surgical completeness of bilateral axillo-breast approach robotic thyroidectomy:comparison with conventional open thyroidectomy after propensity score matching[J].Surgery,2011,150(6):1266-1274.
[46] Lang BH,Wong CK,Tsang JS,et al.A systematic review and meta-analysis evaluating completeness and outcomes of robotic thyroidectomy[J].Laryngoscope,2015,125(2):509-518.
[47] Tae K,Song CM,Ji YB,et al.Oncologic outcomes of robotic thyroidectomy:5-year experience with propensity score matching[J].Surg Endosc,2016,30(11):4785-4792.
[48] Lee SG,Lee J,Kim MJ,et al.Long-term oncologic outcome of robotic versus open total thyroidectomy in PTC:a case-matched retrospective study[J].Surg Endosc,2015,30(8):3474-3479.
[49] Van Lierde K,D'Haeseleer E,Wuyts FL,et al.Impact of thyroidectomy without laryngeal nerve injury on vocal quality characteristics:an objective multiparameter approach[J].Laryngoscope,2010,120(2):338-345.
[50] Tae K,Kim KY,Yun BR,et al.Functional voice and swallowing outcomes after robotic thyroidectomy by a gasless unilateral axillo-breast approach:comparison with open thyroidectomy[J].Surg Endosc,2012,26(7):1871-1877.
[51] Lee J,Nah KY,Kim RM,et al.Differences in postoperative outcomes,function,and cosmesis:open versus robotic thyroidectomy[J].Surg Endosc,2010,24(12):3186-3194.
[52] Song CM,Ji YB,Bang HS,et al.Long-term sensory disturbance and discomfort after robotic thyroidectomy[J].World J Surg,2014,38(7):1743-1748.
[53] Kim JH,Park JW,Gong HS.Axillary web syndrome after transaxillary robotic thyroidectomy[J].J Robot Surg,2014,8(3):281-283.
[54] Kwak DH,Kim WS,Kim HK,et al.A Band-Like Neck Scar Contracture after Bilateral Axillo-Breast Approach Robotic Thyroidectomy[J].Arch Plast Surg,2016,43(6):614-615.