跨口机器人喉肌切除术用于喉肌
1Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Rd., South Dist., 40201 Taichung City, Taiwan.
European annals of otorhinolaryngology, head and neck diseases
|August 26, 2025
概括
通过口腔的机器人手术 (TORS) 提供了一个新的解决方案,用于癌症后的严重食症治疗. 这种微创方法成功地恢复了以前依赖胃管养的患者的吞功能.
科学领域:
- 耳鼻喉科
- 外科瘤学
- 机器人手术
背景情况:
- 持续性消化不良是头癌治疗后的一个令人虚弱的并发症,特别是在全腔切除术后.
- (CP) 肌肉可以显著损害吞功能,需要胃管养等干预措施.
- 现有的康复策略可能无法完全解决严重的CP肌肉功能障碍.
研究的目的:
- 报告首次记录使用跨口腔机器人手术 (TORS) 进行喉切除术.
- 评估TORS CP肌切除术在患有难治性消化不良的患者中的可行性和有效性.
- 探索TORS作为治疗肌肉功能障碍的最小侵入性手术替代方案.
主要方法:
- 一位患有持续性消化不良的患者在全切除术后接受了毒素注射,证实了CP肌肉.
- 使用达芬奇Si机器人系统进行过口腔机器人手术 (TORS).
- 这项手术涉及微创透口方法,高放大3D可视化精确的肌肉切除和粘膜关闭.
主要成果:
- 在没有手术并发症的情况下成功完成了TORS CP肌切除术.
- 在手术后,患者的吞功能显著改善.
- 患者成功地停止了胃管养,视频光学结果证实了增强的吞能力.
结论:
- 透口机器人手术 (TORS) CP肌切除术是一种可行且有效的最小侵入性手术选择,用于治疗严重的CP肌.
- 这种技术提供了精确的可视化和切除,有可能改善患有复杂吞障碍的患者的治疗结果.
- 对于耐火性喉功能障碍的手术治疗来说,
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