机器人外科学杂志（中英文）2026，Vol.7Issue(8)：1354-1358,5.DOI:10.12180/j.issn.2096-7721.2026.08.006
区域低温防护在机器人辅助甲状腺手术中的应用
Regional hypothermic protection in robot-assisted thyroid surgery
摘要
Abstract
Objective:To investigate flap thermal injury preventing methods in the perioperative period of Da Vinci robot-assisted thyroid surgery.Methods:A prospective cohort of 156 patients who underwent robot-assisted thyroid surgery at our hospital between January 2023 and December 2024 was enrolled.They were randomly divided into the intervention group(n=78)and the control group(n=78).In the intervention group,ice-saline gauze pads were used to the cervical skin intraoperatively,followed by ice packs placed on the skin surface postoperatively to lower local temperature,while the control group received no temperature intervention.Skin temperature,postoperative drainage volume,and incidence of flap thermal injury were compared between groups.Results:No significant difference were found in baseline data between the two groups of patients(P>0.05).Compared with the control group,the intervention group had significantly lower intraoperative cervical skin temperature,reduced postoperative drainage volume,and a lower incidence of flap thermal injury(P<0.05).Among patients with cutaneous thermal injury,one case in the control group developed scar contracture following conventional treatment.Conclusion:Perioperative regional skin cooling during robot-assisted thyroid surgery can lower the incidence of flap thermal injury and reduce postoperative drainage volume.关键词
机器人辅助甲状腺手术/皮瓣热损伤/区域低温策略Key words
Robot-assisted Thyroid Surgery/Flap Thermal Injury/Regional Hypothermic Strategy分类
医药卫生引用本文复制引用
霍立群,宋昱庆,董延旭,王璐,王绪林,顾军,徐晓帆..区域低温防护在机器人辅助甲状腺手术中的应用[J].机器人外科学杂志（中英文）,2026,7(8):1354-1358,5.基金项目
南京大学医学院附属金陵医院临床诊疗新技术基金项目(22LCZLXJS33,2023LCZLXC066) New Clinical Diagnostic and Therapeutic Technology Research Fund Project of Jinling Hospital,Affiliated Hospital of Nanjing University(22LCZLXJS33,2023LCZLXC066) （22LCZLXJS33,2023LCZLXC066）
