经口达芬奇机器人甲状腺乳头状癌手术100例临床分析OACSTPCD

Objective:To explore the clinical application and practicability of the transoral robotic thyroidectomy vestibular ap-proach(TORTVA)in papillary thyroid carcinoma(PTC)patients.Methods:A total of 100 PTC patients who underwent TORTVA at the department of breast and thyroid surgery in Daping Hospital from December 2018 to February 2022 were collected in our research.The clinical features including operation approaches,operation time,postoperative complications,length of stay and laboratory indexes such as parathyroid hormone and serum calcium levels were retrospectively analyzed.Results:Among the 100 patients,86 were women and 14 were men.The average age was(38.30±10.30)years,and the average tumor size was(0.91±0.51)cm.Among these 100 patients,77 patients underwent unilateral lobectomy plus isthmus resection and central neck dis-section,7 patients underwent total thyroidectomy and unilateral central neck dissection,and 16 patients underwent total thyroid-ectomy and bilateral central neck dissection.The average operation time was(235.00±51.50)minutes.The median number of lymph nodes dissected was 7(4,11),and the median number of metastatic lymph nodes dissected was 1(0,2),The average postoperative length of stay was(2.39±0.90)days.After operation,vocal cord palsy caused by temporary recurrent laryngeal nerve injury occurred in 2 pa-tients,and temporary mental nerve paralysis occurred in 7 patients,and transient hypoparathyroidism was found in 8 patients.2 patients were transferred to open surgery due to intraoperative bleeding and exposure difficulties,and TORTVA was successfully completed in the other 98 patients.The median follow-up time of the patients was 25(16.30,54.10)months,and neither recurrence nor metastasis was observed during the follow-up period.Conclusion:TORTVA performed with strict surgical indications and by experienced operators is safe and feasible for PTC patients,and can provide more choices for patients.