机器人在头颈外科中的应用——香港中文大学经验

陈英权; 王维杨; 梁发雅; 黄晓明

doi:10.13201/j.issn.1001-1781.2018.14.004

机器人在头颈外科中的应用——香港中文大学经验

- 1. 香港中文大学耳鼻咽喉头颈外科学系(香港);
- 2. 中山大学孙逸仙纪念医院耳鼻咽喉科

详细信息

通讯作者: 陈英权,E-mail:jasonchan@ent.cuhk.edu.hk

中图分类号: R65

收稿日期: 2018-06-25

Robotic head and neck surgery at the Chinese University of Hong Kong

- Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong

More Information

Corresponding author: Jason Y K Chan, E-mail: jasonchan@ent.cuhk.edu.hk

Received Date: 25 June 2018

摘要

摘要: 目的：机器人手术目前已在头颈部多个区域得到了应用，本文探讨香港中文大学头颈外科机器人手术的经验。方法：回顾性分析2015年1月以来在香港中文大学耳鼻咽喉头颈外科开展的所有机器人头颈外科手术病例资料。结果：24例患者采用达芬奇S或达芬奇Xi系统进行了手术，21例患者使用新型柔性机器人达芬奇SP系统行了手术。均无二次手术等严重不良事件。已经发表的达芬奇SP系统手术的7例患者早期结果表明，通过达芬奇SP系统可以到达鼻咽、口咽部、下咽部、喉部和咽后淋巴结完成手术，不需中途改变手术方式，没有发生与使用该系统有关的严重不良事件或不良事件。结论：通过我们在香港中文大学的经验，我们认为采用达芬奇机器人系统进行经口手术或经耳后入路颈部手术是安全有效的。
- 机器人 /
- 头颈部手术 /
- 经口机器人手术
Abstract: Introduction: Robotic surgery in the head and neck region has been used to approach many different areas within the head and neck region. Here we describe our experiences of its application at The Chinese University of Hong Kong.Methods: This is a retrospective review of all cases operated by the two authors since Jan 2015 at the Department of Otorhinolaryngology, Head and Neck Surgery, The Chinese University of Hong Kong.Results: Twenty-four cases were performed with the da Vinci S or da Vinci Xi systems. Twenty-one cases were performed with the novel flexible robotic da Vinci SP system. There were no serious adverse events requiring a return to the operating room. Early results from the da Vinci SP have been previously published in seven patients that demonstrated the ability to reach the nasopharynx, oropharynx, hypopharynx, larynx and also retropharyngeal lymph nodes. There were no conversions to alternative surgical approaches. There were no serious adverse events or adverse events related to the use of this system.Discussion: In conclusion, through our experiences at The Chinese University of Hong Kong we have found the da Vinci robotic systems to be useful and safe in performing TORS and addressing pathologies in the neck through the retroauricular approach.
- robot /
- head and neck surgery /
- transoral robotic surgery

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