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• W3025683600 abstract "Objective: To explore the feasibility of using da Vinci Surgical System to perform supraomohyoid neck dissection (SOND) to avoid visible scar and reduce trauma. Methods: Between September 2017 and December 2018, twenty patients (two females and 18 males, mean age, 54.8 years) with oral cancer treated in the Department of Stomatology, Hainan Hospital of General Hospital of Chinese PLA were enrolled in this study. Eight patients were assigned into robotic surgery group, and received robot-assisted SOND with retroauricular hairline incision. After the da Vinci Surgical System robotic platform was positioned, the neck dissection was performed in level Ⅱb, Ⅱa, Ⅲ, Ⅰb and Ⅰa orderly from the near region to far region. The other 12 patients were assigned into traditional surgery group, and received SOND with a traditional incision. The operation time, bleeding and amount of lymph node dissected were compared between two groups. Results: All the 8 cases of robot-assisted SOND were completed smoothly. Operation time [(4.5±1.0) h] was significantly longer in robotic surgery group than that [(2.5±1.0) h] in traditional surgery group (P<0.05). The amount of bleeding in robotic surgery group [30.0 (27.5) ml] was significantly lower than that in traditional surgery group [(100.0 (87.5) ml, P<0.05]. There's no difference in the number of lymph nodes dissected between robotic surgery group (23.6±5.2) and traditional surgery group (22.8±6.0)(P>0.05). No postoperative hemorrhage, symptoms of nerve injury, flap necrosis and secondary healing were observed in robotic surgery group. Conclusions: SOND through retroauricular hairline incision is feasible with the assistance of da Vinci Surgical System. The main advantage of this method is superior esthetic effects due to a hidden incision with minimal bleeding. There was no obvious differences in the amount of lymph nodes dissected and postoperative complications between two methods. However, robotic surgery costs a significantly longer operation time than traditional neck dissection.目的： 探索手术机器人辅助下经耳后发际内切口行肩胛舌骨肌上淋巴结清扫术（简称颈清术）的可行性。 方法： 选择2017年9月至2018年12月就诊于解放军总医院海南医院口腔科的口腔癌患者20例，年龄平均54.8岁，男性18例，女性2例，对其中8例患者设计经耳后至发际内的角形切口，安置手术机器人机械臂系统，按手术通路的远近顺序依次清扫颈部Ⅱb、Ⅱa、Ⅲ、Ⅰb、Ⅰa区（机器人手术组）；剩余12例患者行常规切口颈清术（常规手术组）。比较两组手术时长、出血量及淋巴结检出数量等指标。 结果： 机器人手术组8例患者颈清术均安全完成，手术时间（4.5±1.0）h，显著大于常规手术组[（2.5±1.0）h，P<0.05]；出血量30.0（27.5）ml，显著小于常规手术组[100.0（87.5）ml，P<0.05]；检出淋巴结（23.6±5.2）个，与常规手术组差异无统计学意义[（22.8±6.0）个，P>0.05]。机器人手术组术后无继发性出血，无术区神经损伤症状，无皮瓣坏死或延迟愈合。 结论： 机器人辅助下耳后发际内切口的颈清术可顺利完成，该术式出血量少、疤痕隐蔽，且淋巴结检出数量、并发症与常规术式无明显差别；但手术时间较长。." @default.
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• W3025683600 date "2019-09-09" @default.
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• W3025683600 title "[Robotic-assisted supraomohyoid neck dissection via retroauricular hairline incision]." @default.
• W3025683600 doi "https://doi.org/10.3760/cma.j.issn.1002-0098.2019.09.009" @default.
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