Clinical analysis of gasless transoral vestibular robotic resection of thyroglossal duct cysts
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摘要: 目的 探讨免充气经口下唇前庭入路机器人辅助甲状舌管囊肿(thyroglossal duct cysts，TGDC)切除术的安全性和可行性。方法 回顾性分析2020年9月-2022年5月在中山大学孙逸仙纪念医院耳鼻咽喉科接受免充气经口下唇前庭入路机器人辅助TGDC切除术患者的临床资料，记录手术时间、出血量、术后并发症、术后疼痛评分、术后美观评分以及复发情况并进行统计学分析。结果 所有患者均成功完成手术，无中转手术病例。手术时间为104.00(95.00，131.25) min，手术出血量为15.00(10.00，16.25) mL；平均引流量为(59.71±9.20) mL。术后病理均符合TGDC，无术区局部红肿、皮下血肿、气肿、皮瓣坏死、感染等并发症。术后平均住院天数为3.00(2.00，3.00)d。术后3个月6例患者出现下唇轻度感觉异常。所有患者均对美容效果十分满意，随访5~26个月均未见复发。结论 免充气经口下唇前庭入路机器人辅助TGDC切除术安全可行，术后瘢痕隐蔽，美容效果好，可为TGDC患者提供一种新的选择。Abstract: Objective This study aimed to explore the safety and feasibility of gasless transoral vestibular robotic resection of thyroglossal duct cysts.Methods The clinical data of patients who underwent gasless transoral vestibular robotic resection of thyroglossal duct cysts at the Department of otolaryngology, Sun Yat-sen Memorial Hospital, Sun yat-sen university from September 2020 to May 2022 were analyzed. The operative time, blood loss, postoperative complications, postoperative pain score, postoperative aesthetic score, and recurrence were prospectively evaluated.Results All patients completed the operation successfully and no case conversed to an open operation. The operation time was 104.00(95.00, 131.25) minutes, and the surgical blood loss was 15.00(10.00, 16.25) mL. The drainage volume was(59.71±9.20) mL. Postoperative pathology was consistent with thyroglossal duct cysts. There was no local reswelling, subcutaneous hematoma, emphysema, skin flap necrosis, infection and other complications. The postoperative hospital stay was 3.00(2.00, 3.00) days. Six patients had mild sensory abnormalities of the lower lip 3 months after surgery, and all patients were satisfied with the cosmetic outcomes. No recurrence was found during the 5-26 months follow-up.Conclusion gasless transoral vestibular robotic resection of thyroglossal duct cysts is safe and feasible, with hidden postoperative scars and good cosmetic outcomes. It can provide a new choice for patients with thyroglossal duct cysts.
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Key words:
- thyroglossal duct cysts /
- transoral approach /
- vestibular /
- robotic surgery
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