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专家对横口机器人与激光手术的观点,用于supraglottic癌症的手术

Charlotte Loubieres^1,2, Stéphane Hans^1,2,3, Jerome R Lechien^1,2,4,5,6

¹Department of Otolaryngology-Head & Neck Surgery, Foch Hospital, Suresnes, France.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

|November 28, 2024

概括

专家们发现,跨口激光微手术 (TLM) 和跨口机器人手术 (TORS) 对喉上部瘤来说是可比的. 透口机器人手术提供优越的手术内静血和可视化,而TLM的设置时间更快.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
头部和部手术头部和部手术
手术瘤学手术瘤学

背景情况:

超节喉瘤需要先进的外科手术技术.
横腔激光微手术 (TLM) 和横腔机器人手术 (TORS) 是领先的最小侵入性选择.
了解这些技术的专家意见对于临床实践至关重要.

研究的目的:

评估国际关键论领袖对TLM和TORS对喉上部瘤的看法.
识别与每个技术相关的实践和挑战.

主要方法:

设计了一个由七个部分组成的50个问题调查.
调查问卷涵盖了参与者数据,手术经验,程序方面以及TLM和TORS的比较分析.
收集了有关呼吸道,食,语音,出血和术后管理的数据.

主要成果:

27名头部和部外科医生参与了这项研究,他们的平均经验是20年.
与TORS相比,TLM的安装时间显著缩短 (19%对比44%>20分钟的设置;p=0.02).
在TLM中,手术内出血是主要问题 (52%对26%),而在TORS中,术后出血更为明显 (56%对44%).

结论:

专家们发现,TLM和TORS在治疗喉癌治疗方面基本上是相当的.
透口机器人手术被认为是手术内静血和外科现场可视化方面优越的.
没有发现一种技术明显优于另一种技术,突出了细微的优势.

关键词:

癌症发生在癌细胞中.内镜外科手术是一种内镜外科手术.头部和部的情况.喉癌是一种喉癌.激光二氧化碳 CO2 激光器微创手术是最少的侵入性手术.耳鼻喉科耳鼻喉科耳鼻喉科超节喉切除术 (supraglottic laryngectomy) 是一种超节喉切除术.调查调查调查调查跨口喉微手术跨口喉微手术透口机器人手术透口机器人手术

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