机器人外科学杂志（中英文）2025，Vol.6Issue(4)：585-590,6.DOI:10.12180/j.issn.2096-7721.2025.04.012
前锯肌平面阻滞促进腋乳入路机器人辅助甲状腺手术患者的快速康复(附手术视频)
Serratus anterior plane block facilitates enhanced recovery in patients undergoing robot-assisted thyroidectomy via the axillo-breast approach(with surgical video)
摘要
Abstract
Objective:To evaluate the clinical efficacy of serratus anterior plane block(SAPB)in patients undergoing Da Vinci robot-assisted thyroidectomy via the bilateral axillo-breast approach(BABA).Methods:70 patients scheduled for robot-assisted thyroidectomy via BABA from February 2022 to May 2022 were enrolled.They were divided into the GS group(n=35,receiving general anesthesia combined with SAPB)and the G group(n=35,receiving general anesthesia alone)using a random number table.Mean arterial pressure(MAP)and heart rate(HR)were recorded at 4 timepoints:pre-incision(T0),Trocar placement(T1),surgical cavity irrigation(T2),and 5 minutes after extubation(T3).Intraoperative consumption of sufentanil,propofol,and remifentanil,as well as extubation time,were recorded.Postoperative Numerical Rating Scale(NRS)scores and adverse events were assessed at 2,6,12,24,and 48 hours after surgery.Results:No significant differences in MAP were observed between the two groups at any timepoint(P>0.05).HR in the GS group was significantly lower than the G group at T2 and T3,but there was no significant difference at T0 and T1 between the two groups(P<0.05).The GS group required significantly lower doses of sufentanil,propofol,and remifentanil(P<0.05),shorter extubation time(P<0.05),lower NRS scores at 2,6,12,24,and 48 hours after surgery than the G group(P<0.05).Rates of adverse event were comparable between the two groups(P>0.05).Conclusion:General anesthesia combined with SAPB can lower HR,alleviate stress response,reduce opioid and sedative requirements,reduce postoperative pain scores,and improve patient comfort levels in patients undergoing robot-assisted thyroidectomy via BABA without increasing block-related complications,which is worth of clinical promotion.关键词
前锯肌平面阻滞/超声引导/手术机器人/甲状腺手术/罗哌卡因Key words
Serratus Anterior Plane Block/Ultrasonic Guidance/Surgical Robot/Thyroid Surgery/Ropivacaine分类
医药卫生引用本文复制引用
张伟,王飞,高成杰..前锯肌平面阻滞促进腋乳入路机器人辅助甲状腺手术患者的快速康复(附手术视频)[J].机器人外科学杂志（中英文）,2025,6(4):585-590,6.基金项目
济南市科学技术局临床医学科技创新计划(202019018)Clinical Medical Science and Technology Innovation Program of Jinan Science and Technology Bureau(202019018) （202019018）
