Thyroid cancer is among the most common endocrine malignancies, necessitating effective surgical interventions. Traditional open cervicotomy has long been the standard approach for thyroidectomy. However, the advent of robotic surgery has introduced new possibilities for minimally invasive procedures with benefits in terms of cosmetic outcomes, enhanced precision, comparable complication rates, and reduced recovery time. This study mainly reviewed the most widely used and well-known robotic thyroidectomy approaches: the transaxillary approach, the bilateral axillo–breast approach, and the transoral approach. This review examines the current status and future potential of robotic surgery in thyroid cancer treatment, comparing its efficacy, safety, and outcomes with those of conventional open cervicotomy. Challenges such as a longer operative time and higher costs exist. Future directions include technological advancements, tele-surgery, single-port surgery, and the integration of artificial intelligence. Robotic surgery holds promise in optimizing patient outcomes in thyroid cancer treatment.
甲状腺癌是最常见的内分泌恶性肿瘤之一，需要有效的手术干预。传统开放式颈前切口手术长期以来一直是甲状腺切除术的标准方法。然而，机器人手术的出现为微创手术带来了新的可能性，其在美容效果、提高手术精度、可比的并发症发生率以及缩短恢复时间方面具有优势。本研究主要回顾了目前应用最广泛且广为人知的机器人甲状腺切除术入路：经腋窝入路、双侧腋窝-乳房入路以及经口入路。本综述探讨了机器人手术在甲状腺癌治疗中的现状和未来潜力，并将其疗效、安全性和结果与传统开放式颈前切口手术进行了比较。机器人手术仍面临手术时间较长和费用较高等挑战。未来发展方向包括技术进步、远程手术、单孔手术以及人工智能的整合。机器人手术有望在优化甲状腺癌治疗患者预后方面发挥重要作用。
Current and Future of Robotic Surgery in Thyroid Cancer Treatment
肿瘤(癌症)患者之家