Pasquale Capaccio, Matteo Lazzeroni, Sara Torretta, Lorenzo Salvatore Solimeno, Valentina Cristofaro, Michele Proh, Giovanni Cammaroto, Giuseppe Meccariello, Claudio Vicini, Lorenzo Pignataro
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引用次数: 0
摘要
研究目的一项前瞻性介入研究旨在描述我们在2019年1月至2023年6月期间通过Si或Xi达芬奇机器人系统接受ialendoscopy辅助TORSS（经口机器人唾液手术）的下颌下腺结石患者系列，以评估手术的安全性和有效性：总体成功率为81.5%，与不可扪及的纯实质结石相比，可扪及的乳房/高位实质结石患者的手术效果更好（92.7% vs. 46.2%）。此外，TORSS失败病例的平均结石大小（7.8 ± 1.8 vs. 9.8 ± 2.4 mm）小于治疗成功病例的平均结石大小（7.8 ± 1.8 vs. 9.8 ± 2.4 mm）。没有发现重大的不良反应（3 名接受达芬奇手术的患者出现短暂的舌神经功能障碍）。在术后疼痛、患者满意度和恢复时间方面都取得了良好的效果：结论：结石的内在特征（如大小、位置/可触及性）似乎是手术成功与否的预测因素；必须进行准确的术前规划，才能更好地选择最受益于 TORSS 手术的患者。
Transoral robotic salivary surgery for hilar\parenchymal submandibular stones.
Objectives: A prospective interventional study was designed to describe our series of patients with submandibular stones undergoing sialendoscopy-assisted TORSS (trans-oral robotic salivary surgery) by means of Si or Xi Da Vinci robotic system between January 2019 and June 2023, in order to assess safety and effectiveness of the procedure.
Methods: 54 adult patients with submandibular stones undergoing sialendoscopy-assisted TORSS between January 2019-June 2023.
Results: The global success rate was 81.5%, with better surgical outcomes in patients with palpable hilar/hilo-parenchymal stones compared to non-palpable pure parenchymal ones (92.7 vs. 46.2%). In addition, the mean stone size in cases failing TORSS was smaller than that documented in successfully treated patients (7.8 ± 1.8 vs. 9.8 ± 2.4 mm). No major untoward effects were observed (transitory lingual nerve dysfunction in 3 patients undergoing Xi Da Vinci surgery). A positive outcome in terms of post-operative surgical pain, patient's satisfaction and recovery time was observed.
Conclusions: Intrinsic stone features (such as size, location/palpability) seems to be predictor for surgical success; an accurate pre-operative planning is mandatory to better select which patient can benefit most from TORSS procedure.
期刊介绍：
Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles.
Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery.
Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact.
The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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