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在口腔皮细胞癌中使用CO2激光进行过口腔机器人手术:一系列临床病例

Thomas Khan-White¹, Dylan Chew², James Moor²

¹Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom. TomKhan24@gmail.com.

Lasers in medical science

|January 16, 2026

概括

使用二氧化碳 (CO2) 激光的跨口腔机器人手术 (TORS) 是治疗口腔状细胞癌 (OPSCC) 的可行的方法. 这一英国病例系列显示出良好的结果,并发症最小,并迅速恢复口服摄入.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
手术瘤学手术瘤学
机器人手术机器人手术

背景情况:

透口机器人手术 (TORS) 是对口腔状细胞癌 (OPSCC) 的标准治疗方法.
二氧化碳 (CO2) 激光器提供精确的切割和最小的热损伤,但其在TORS中的应用尚未得到充分记录.

研究的目的:

为OPSCC.在TORS中通过空洞波导使用CO2激光器呈现英国第一个案例系列.
评估该技术的可行性和结果.

主要方法:

八名患有OPSCC的患者使用CO2激光 (SmartXide Trio) 通过空洞波导传递TORS.
瘤的位置包括桃体和舌头底部.
评估结果包括边缘状态,并发症,吞功能和住院.

主要成果:

在所有病例中都实现了完整的瘤切除.
没有发生手术内并发症或转化.
患者在不使用食管的情况下恢复了口服;平均住院时间为2.75天,没有明显的吞功能障碍或呼吸道问题.

结论:

对于OPSCC而言,TORS中的CO2激光剖析是一种可行的外科选择.
它显示了可接受的术后功能结果.
与单极电相比,这种技术可能会减少热损伤.

关键词:

在 CO2 激光器中,使用 CO2 激光器.达芬奇机器人系统达芬奇机器人系统头部和部手术头部和部手术口腔甲状腺状细胞癌跨口腔机器人手术 (TORS) 是一种手术.

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