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一个单端口机器人的口腔膜免费片插件:一个案例系列
Brian Chen1,2, Anne Glenney1, Sophie Gerndt3
1Department of Surgery, Division of Plastic Surgery, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
Microsurgery
|January 8, 2026
概括
单端口机器人手术可以在横口机器人手术后进行可行的自由插入,改善可视化并减少并发症. 这项技术为头癌重建提供了开放方法的替代方案.
科学领域:
- 头部和部手术 头部和部手术
- 机器人手术 机器人手术
- 重建性手术是一种重建性手术.
背景情况:
- 传统的口腔大切除通常需要唇分下巴切除方法 (LSMA),与高发病率相关.
- 透口机器人手术 (TORS) 为口腔大切除提供了一个不那么侵入性的替代方案.
- 在TORS后插入的自由 (FF) 可能具有挑战性,可能需要开放程序.
研究的目的:
- 评估单端口 (SP) 机器人手术的可行性和结果,以免费翻盖 (FF) 插入过口机器人手术 (TORS).
- 评估这种结合机器人方法的功能和瘤结果.
主要方法:
- 在2021年至2022年期间,在TORS后使用SP机器人进行机器人FF插入的五名患者的回顾性审查.
- 收集的数据包括患者和瘤特征,手术时间,缺血时间和术后结果.
主要成果:
- 五个病例成功完成,患者平均年龄为62.4岁.
- 平均手术时间为528分钟,平均缺血时间为156.6分钟.
- 在平均随访17.6个月后,观察到高功能性口服分数 (平均5.8/7) 和没有片损失或伤口愈合问题.
结论:
- 单端口机器人手术是TORS后FF插入的一个可行的选择,提供了更好的可视化和机动性.
- 这种技术使整形外科医生能够降低与FF插入相关的并发症概况,从而潜在地避免病态的开放暴露.
- SP机器人的先进仪器仪表和定位能力提高了其在复杂的头部和部重建中的实用性.
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