9例经口入路机器人手术在口腔颌面外科应用报道

目的: 总结口腔颌面外科机器人手术的应用经验。方法: 解放军总医院口腔科应用达芬奇机器人手术系统对9例位于口腔深部肿瘤患者行经口入路机器人手术（transoral robotic surgery, TORS）,总结手术经验与体会。结果: 患者均顺利完成手术,摆位及术区暴露用时20~90 min,平均42.2 min;手术时间5~90 min,平均40.9 min。除1例双侧颈淋巴清扫术患者外,其余纯口腔入路患者8例,术后平均住院日3.25 d,术后均顺利出院,平均住院天数7.75 d。结论: 达芬奇机器人手术系统可以独立完成口腔深部肿瘤手术,但在特殊患者如舌根肿瘤手术上仍有一定困难,主要是术区暴露时间较长。

Application of transoral robotic surgery in oral and maxillofacial surgery: a report of 9 cases

PURPOSE: To provide experience in 9 cases of transoral robotic surgery (TORS), and to explore the future application of robot in oral and maxillofacial surgery. METHODS: Nine cases with tumors in deep oral cavity were resected by using Da Vinci robotic surgery system in the Department of Stomatology, PLA General Hospital. RESULTS: All the patients completed the operation successfully. The shortest time of the operation area exposure was 20 min, the longest time was 90 min, the average time was 42.2 min. The shortest operation time was 5 min and the longest was 90 min, the average time was 40.9 min. Except for 1 case, who underwent bilateral neck dissection, there were 8 patients who were operated only by TORS. The average postoperative time was 3.25 d, and the average hospitalization time was 7.75 d. CONCLUSIONS: Resection of the tumors in deep oral cavity can be completed dependently by Da Vinci robotic surgery system, but there are still some difficulties in the operation of tongue base tumor in special patients, which needs a long exposure time of the operation area.