文章：

经口机器人甲状腺切除术与经口内镜经前庭入路甲状腺切除术（使用内镜牵开器）的比较：单中心经验

Comparison of Transoral Robotic Thyroidectomy and Transoral Endoscopic Thyroidectomy via Vestibular Approach Using an Endoscopic Retractor: A Single-Center Experience

原文发布日期：13 January 2026

DOI: 10.3390/cancers18020238

类型: Article

开放获取: 是

英文摘要：

Background/Objectives: The TOETVA and TORT have been successfully refined in recent years, with few complications and excellent results. In this study, we compared TORT and TOETVA in patients with papillary thyroid cancer.Methods: From September 2016 to January 2022, we retrospectively compared patient characteristics and clinical features from 100 TORT cases and 300 TOETVA cases, as well as their respective learning curves.Results: Median operation time of TORT was 80.4 min, similar to TOETVA (81.4 min,p= 0.719). Median docking time of TORT was 4.51 min and median console time was 27.72 min. The length of stay of TORT and TOETVA was 2.29 and 2.54 (p= 0.002). The median number of retrieved central lymph nodes for TOETVA and TORT were 2.89 and 2.99 (p= 0.746).Discussion: There was no significant difference with clinical features between TORT and TOETVA.

摘要翻译： 

背景/目的：经口入路甲状腺手术（TOETVA）与经口腔前庭机器人甲状腺切除术（TORT）近年来已得到成功完善，并发症少且疗效显著。本研究对比分析了TORT与TOETVA在甲状腺乳头状癌患者中的应用效果。方法：回顾性分析2016年9月至2022年1月期间的100例TORT病例与300例TOETVA病例，比较患者特征、临床指标及两种术式的学习曲线。结果：TORT中位手术时间为80.4分钟，与TOETVA的81.4分钟相近（p=0.719）。TORT的中位对接时间为4.51分钟，中位操控台操作时间为27.72分钟。TORT与TOETVA的中位住院时间分别为2.29天和2.54天（p=0.002）。TOETVA与TORT的中位中央区淋巴结清扫数量分别为2.89枚和2.99枚（p=0.746）。讨论：TORT与TOETVA在临床特征方面无显著差异。

原文链接：

Comparison of Transoral Robotic Thyroidectomy and Transoral Endoscopic Thyroidectomy via Vestibular Approach Using an Endoscopic Retractor: A Single-Center Experience