UNASSIGNED: We studied 14 patients with PTC who underwent robotic SND via the transoral or combined transoral and postauricular approaches.
UNASSIGNED: The transoral approach was performed on 10 patients for dissection of levels III and IV. An additional postauricular incision was made on 4 patients for dissection of level II in addition to levels III, IV, and V. The operation was completed successfully in 13 patients, except 1 patient with the procedure conversion due to uncontrolled bleeding from the internal jugular vein. The mean numbers of removed lymph nodes in the lateral compartment were 23.1 ± 9.4 and 38.3 ± 8.5 in the transoral and combined groups. Transient recurrent laryngeal nerve palsy occurred in 1 patient, transient hypoparathyroidism in 3 patients, and chyle leakage in 1 patient. There were no hematomas, mental nerve injuries, surgical space infections, or CO2 embolisms.
UNASSIGNED: Transoral robotic SND is feasible with or without a postauricular incision.
UNASSIGNED:我们研究了14例通过经口或经口和耳后联合入路接受机器人SND的PTC患者。
UNASSIGNED:对10例患者进行经口入路,以进行III级和IV级的解剖。除III级外,还对4例患者进行了耳后切口,以进行II级解剖,IV,手术成功完成13例,除了1例由于颈内静脉出血不受控制而导致手术转换的患者。在经口和合并组中,外侧室中切除的淋巴结的平均数量为23.1±9.4和38.3±8.5。1例患者出现短暂性喉返神经麻痹,短暂性甲状旁腺功能减退症3例,1例患者发生乳糜渗漏。没有血肿,精神神经损伤,手术空间感染,或二氧化碳栓塞。
UNASSIGNED:经口机器人SND在有或没有耳后切口的情况下都是可行的。