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达芬奇5在跨口腔机器人手术中的初步临床经验
Nir Tsur1, Andrea Costantino2, J Scott Magnuson3
1Department of Otolaryngology - Head and Neck Surgery, AdventHealth Orlando, 410 Celebration Place, Celebration, FL, 34747, USA.
Journal of robotic surgery
|November 11, 2025
概括
达芬奇5 (DV5) 系统显示了跨口腔机器人手术 (TORS) 的可行性和安全性. 七名患者的早期结果表明结果与之前的机器人系统相似,需要进一步调查.
科学领域:
- 机器人手术 机器人手术
- 头部和部手术 头部和部手术
- 手术瘤学手术瘤学
背景情况:
- 透口机器人手术 (TORS) 已经推进了微创性头癌治疗.
- 大芬奇5 (DV5) 系统代表了新一代机器人手术平台.
研究的目的:
- 评估TORS多端口达芬奇5 (DV5) 系统的初步临床经验和术后结果.
- 在单一机构环境中评估DV5-辅助TORS的安全性和可行性.
主要方法:
- 追溯审查在一个机构执行的所有DV5 TORS程序.
- 数据提取包括人口统计,瘤特征,手术指标,并发症和随访.
- 分析了七个病例:五个与HPV相关的口腔状细胞癌 (OPSCC),一个桃体切除术和一个血管瘤.
主要成果:
- 在所有七个病例中都不需要进行气管切割.
- 发生了一次术后出血 (14.3%),通过栓塞成功治疗.
- 所有患者都在术后第一天通过液体饮食出院;在大多数情况下都实现了负边际.
结论:
- 在早期的临床经验中,DV5-辅助TORS是可行的和安全的.
- 经操作的结果似乎与历史的多端口 (MP) 和单端口 (SP) 机器人系列相比较.
- 需要多中心前性研究来比较不同手术机器人的瘤和功能结果.
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