术中使用引流管进行气体注入一步单孔经腋窝(GOSTA)机器人甲状腺切除术。

IF 1.8 Q2 OTORHINOLARYNGOLOGY
OTO Open Pub Date : 2024-12-18 eCollection Date: 2024-10-01 DOI:10.1002/oto2.70060
Dohoe Ku, Young Woo Chang, Da Young Yu, Seung Yeon Ko, Hye Yoon Lee, Gil Soo Son
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引用次数: 0

摘要

目的:本研究旨在评估在机器人甲状腺切除术中采用气体充气一步单孔经腋窝(GOSTA)入路引流管吸烟的使用及其对手术结果的影响。研究设计:回顾性队列研究。环境:大学三级医疗设施。方法:对患者进行全面回顾性分析,将患者分为两组:术中直接将引流管插入手术间隙的引流组(n = 53)和对照组(n = 83)。比较两组围手术期手术结果,包括手术时间、内窥镜清洗次数、不需要清洗内窥镜的患者数量。结果:引流组手术时间明显短于对照组(P = 0.003)。引流组的内窥镜清洗次数明显较低(P P = .001),表明维持内窥镜清晰度的潜在益处。结论:在GOSTA入路机器人甲状腺切除术中,将吸烟管与引流管直接插入手术间隙可能具有缩短手术时间和提高内窥镜清晰度等优点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Intraoperative Use of a Drain Line for Gas-Insufflation One-Step Single-Port Transaxillary (GOSTA) Robotic Thyroidectomy.

Objective: This study aimed to evaluate the intraoperative use of a drain line for smoke suction during robotic thyroidectomy using a gas insufflation one-step single-port transaxillary (GOSTA) approach and its impact on surgical outcomes.

Study design: Retrospective cohort study.

Setting: University tertiary care facility.

Methods: A comprehensive retrospective analysis was conducted in patients divided into 2 groups: the Drain group, where a drain line was directly inserted into the surgical space during surgery (n = 53), and the Control group (n = 83). The 2 groups were compared in terms of perioperative surgical outcomes, including operative time, number of endoscope cleaning, and the number of patients with endoscopes that did not require cleaning.

Results: The operative time was significantly shorter in the Drain group than in the Control group (P = .003). The number of endoscope cleaning procedures was considerably lower in the Drain group (P < .001), indicating a decreased need for endoscope cleaning during surgery. Moreover, a higher number of patients with endoscopes that did not require cleaning were observed in the Drain group (P = .001), suggesting a potential benefit in maintaining endoscope clarity.

Conclusion: These results suggest that using smoke suction with a drain line directly inserted into the surgical space in robotic thyroidectomy using the GOSTA approach may offer advantages such as reduced operative time and improved endoscope clarity.

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来源期刊
OTO Open
OTO Open Medicine-Surgery
CiteScore
2.70
自引率
0.00%
发文量
115
审稿时长
15 weeks
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